Get Enf 2240b Reporting

The Enf 2240b Reporting form is essential for documenting patient transfers in compliance with state regulations. This guide provides a detailed, step-by-step approach to assist users in accurately completing the form online.

Follow the steps to fill out the Enf 2240b Reporting form accurately.

1. Click the ‘Get Form’ button to obtain the Enf 2240b Reporting form and open it in the editor.
2. Begin filling out Part A of the form, which requires you to enter the name and license number of the patient's physician in the outpatient setting. Ensure that you provide accurate information for the last, first, and middle names.
3. If the physician with hospital privileges is different, enter their name and license number. Otherwise, leave this section blank.
4. Next, input the name and address of the hospital or emergency center where the patient was transferred.
5. Provide patient information by entering the patient's last name, first name, and middle name, along with their address.
6. In the patient identifier section, enter one of the following: medical record number, social security number, patient ID number, or other identifiers.
7. Fill in the date of report to document when the reporting occurred.
8. After completing Part A, ensure to send a copy of the complete form to the facility specified in the hospital section.
9. Proceed to Part B, where you will check the appropriate box for the type of outpatient procedure performed.
10. Identify and check all events that triggered the transfer of the patient.
11. Indicate the duration of the hospital stay by selecting the corresponding box.
12. Fill out the final disposition or status of the patient, ensuring to select the appropriate outcome.
13. Lastly, provide the physician's practice specialty and any applicable certification without including personal identifiable information.
14. Once all sections are completed, users can save changes, download a copy, print the form, or share it as necessary.

Complete the Enf 2240b Reporting form online to ensure proper patient transfer documentation.