Get Fdo Emergency Department Transfer Form - Concentra

Completing the FDO Emergency Department Transfer Form - Concentra online is a crucial step in ensuring proper patient transfer and care. This guide provides a clear, step-by-step approach to help you navigate the form with confidence.

Follow the steps to successfully complete your transfer form.

1. Click ‘Get Form’ button to obtain the document and access it in your preferred application.
2. Enter the patient ID and case number in the designated fields at the top of the form for accurate identification.
3. Fill in the patient’s full name and date of birth. Ensure the information matches their identification for verification.
4. Complete the neurologist’s name and phone number fields, as this information is essential for follow-up care.
5. Indicate the reasons for transfer by checking the appropriate boxes related to the patient’s condition and monitoring results.
6. In the transfer notes section, specify the mode of transport and complete any additional details required.
7. Have the transferring physician certify the transfer by signing and dating the section provided.
8. List the medication being transferred with the patient, specifically noting that should not be resumed without clearance.
9. Authorize the release of limited medical records by signing in the patient signature field and entering the date.
10. Review the completed form for accuracy and clarity, making any necessary edits.
11. Once finalized, save the changes, download, print, or share the completed form as needed.

Start filling out the FDO Emergency Department Transfer Form - Concentra online today to ensure proper patient care and continuity.