
APPROVED PLACE OF CONSULTATION BEDSIDE ON CALL ROUTINE TODAY 72 HOURS EMERGENCY CONSULTATION REPORT RECORD REVIEWED YES NO PATIENT EXAMINED YES NO (Continued on reverse side) SIGNATURE AND TITLE IDENTIFICATION NO. DATE ORGANIZATION REGISTER NO. WARD NO. PATIENT'S IDENTIFICATION (For typed or written entries give: Name - last, first, middle; grade; rank; rate; hospital or medical facility) USAPPC V1.00 CONSULTATION SHEET Medical Record STANDARD FORM 513 (REV. 8-92) Prescribed.
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How to fill out the GSA SF 513 online
The GSA SF 513 is a vital form for requesting medical consultations and record reviews. This guide will provide you with clear and detailed instructions on how to complete this form online with ease.
Follow the steps to complete the GSA SF 513 online
- Click ‘Get Form’ button to obtain the GSA SF 513 and access it in your online editor.
- Enter the requesting physician's name or activity in the 'FROM' field to indicate who is making the request.
- Fill in the 'DATE OF REQUEST' to document when the request is made.
- In the 'REASON FOR REQUEST' section, provide a clear description of the patient's complaints and findings to justify the consultation.
- Record the 'PROVISIONAL DIAGNOSIS' to give initial insights into the patient's condition.
- Have the requesting physician sign the form in the 'DOCTOR'S SIGNATURE' section to authenticate the request.
- Select the appropriate approval status and 'PLACE OF CONSULTATION' based on the urgency and nature of the request.
- Indicate whether the 'CONSULTATION REPORT' has been reviewed and if the patient has been physically examined by marking 'YES' or 'NO'.
- Complete the fields on the reverse side as necessary, including 'SIGNATURE AND TITLE' and 'IDENTIFICATION NO.' for proper identification.
- Provide patient identification information, including name, grade, rank, and any relevant identifiers in the 'PATIENT'S IDENTIFICATION' section.
- After completing all sections, ensure to save changes, download, print, or share the form as required.
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