Get Formu 2020-2025

This guide provides detailed instructions on how to fill out the Formu, ensuring that users can complete it accurately and efficiently. Follow these steps to navigate the online form with confidence.

Follow the steps to successfully complete the Formu.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the date in the format __/__/____ at the top of the form. This indicates when the request for ambulance transfer is being made.
3. Fill in the sending institution's information in the designated field. This is necessary for identifying where the transfer request is originating from.
4. Provide the patient's identification information. This includes age, gender (select either 'male' or 'female'), full name, identification number, and social security information.
5. Affirm the approval for inter-city transfer if there are no available beds in city hospitals by checking the corresponding box.
6. The patient or their relative must sign in the designated area to acknowledge and confirm the filling of the form.
7. Complete the clinical information section, indicating vital signs such as blood pressure, body temperature, neurological status, and whether intubation is necessary.
8. Detail any pathological examination results and ongoing tests in their respective fields. Clearly write down any medical interventions and medications given.
9. Indicate the primary diagnosis for the transfer request using the ICD 10 code.
10. Select the reason for the transfer by marking the appropriate options, including needs for intensive care, specialist, or specific medical device.
11. State transfer requests based on road, air, or sea ambulances, including reasons for the choice in the specified area.
12. Fill out the transfer logistics section, which includes entering the sending doctor's signature and contact number.
13. Ensure the form is fully completed before sending it by fax to the control center, confirming its receipt by phone.
14. Finally, save any changes to the form, download it, and consider printing or sharing it as necessary.

Complete your Formu online today and ensure a smooth ambulance transfer process.