Get Form Dps-229-iowa Law Enforcement Notification For Discharge Of ...

The FORM DPS-229 is essential for notifying law enforcement prior to the discharge of a patient admitted under emergency procedures. This guide will provide you with clear, step-by-step instructions on how to fill out this form online, ensuring compliance with Iowa Code Section 229.22.

Follow the steps to fill out the FORM DPS-229 accurately.

1. Click the ‘Get Form’ button to access the FORM DPS-229 and open it in the editing interface.
2. Complete the patient information section by providing the first name, middle name, last name, date of birth, and social security number, driver's license number, or nonoperator ID number, circling the one used.
3. Include the patient's distinguishing characteristics, such as height, weight, gender, race, hair and eye color, and any relevant marks like scars or tattoos. This section is only necessary if the patient's name is unknown.
4. Fill in the delivering law enforcement officer and agency information, including the officer's first and last name, badge number, agency name, their signature, and the date and time when the form was signed and delivered.
5. Identify the law enforcement agency that needs to be notified prior to the patient's discharge by filling in the agency name, dispatch center name, email address for notifications, and the telephone number of the dispatch center.
6. Hospital or facility representatives should complete their details upon receipt of the patient, including the treatment site's name and address, and the first and last name of the employee receiving the form, along with their signature.
7. Prior to the patient's discharge, complete the notification information section by providing the first and last name of the hospital or facility employee making the notification, their signature, and the date and time the notification was made by phone and email.
8. Ensure that the email notification is sent securely, using encryption technology as mandated by federal privacy laws.
9. Once all sections are completed accurately, save the changes you made, and download or print the form for your records.

Complete the FORM DPS-229 online today to ensure compliance and facilitate the discharge process.