Get Disposition Form - Winston-salem Rescue Squad - Winstonsalemrescuesquad

This guide provides a clear, step-by-step approach to completing the Disposition Form for the Winston-Salem Rescue Squad online. Following these instructions will help ensure that all necessary information is accurately captured, making the process straightforward and efficient for users.

Follow the steps to successfully complete the Disposition Form.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Fill in the emergency medical services patient discharge information section, including the PCR number, patient's name, date of birth, date, address, and phone number.
3. Enter the name and identification number of the EMS professional assisting with the situation.
4. If applicable, mark the Patient Refusal section. Here, the recommendations made by the paramedics must be recorded. Users should clearly indicate any medical treatments or transport the patient refuses.
5. Ensure that all recommendations are explained to the patient or guardian, and obtain their signature to demonstrate their understanding of the refusal and its implications.
6. Complete the Patient Instructions section, indicating who the patient is being released to and any specific instructions for their care.
7. Fill out any relevant witness signatures as necessary, providing space for witnesses in case of refusal.
8. Finally, review the entire form for accuracy, save any changes, and proceed to download, print, or share the completed Disposition Form as needed.

Complete your Disposition Form online today for a seamless documentation experience.