Get (replaces Patient Transfer And Continuity Of Care Form)

Filling out the (Replaces Patient Transfer And Continuity Of Care Form) online can streamline the process of transferring care and ensure that all necessary information is accurately captured. This guide will provide clear and systematic instructions to help you complete the form with ease.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to access the online version of the (Replaces Patient Transfer And Continuity Of Care Form) and open it in your preferred editor.
2. Begin by filling out the facility information section. Include the name of the current facility, the admission date, and the name of the new facility. Ensure these details are accurate to avoid any delays in the transfer process.
3. Next, complete the discharge date section, which should reflect the anticipated date of discharge from the current facility.
4. In the history & physical and labs section, provide comprehensive details of the individual's health history. This includes results from physical examinations and any relevant laboratory findings.
5. Fill in the demographic information fields by providing the individual's date of birth, sex, race, and other identifiers that may be required.
6. For physician information, input the physician's name and confirm whether the individual is free from communicable diseases, is being cared for in a nursing facility, and provide any pertinent medical history.
7. Complete the screening for mental illness or disorders section, if applicable, by answering the necessary questions and documenting any relevant observations or diagnoses.
8. If applicable, fill out the immunizations given section. Document all vaccines administered and any allergies or drug sensitivities the individual may have.
9. Fill out the medication and treatment orders section, ensuring that any therapies or treatments recommended are clearly listed along with their corresponding approval dates.
10. Finally, once all sections are thoroughly completed, ensure that the appropriate signatures are collected. Save any changes made to the form, and download or print it for your records or for submission.

Start completing the (Replaces Patient Transfer And Continuity Of Care Form) online now to ensure a smooth transition of care.