Get the free INFECTION CONTROL TRANSFER FORM

INFECTION CONTROL TRANSFER Forms form should be sent with the patient/resident upon transfer. It is NOT meant to be used as criteria for admission, only to foster the continuum of care once admission

How to fill out infection control transfer form

How to fill out an infection control transfer form:

1. Begin by gathering all relevant information, such as the patient's name, date of birth, and contact information. It is important to ensure accuracy in these details.
2. Next, document the reason for the transfer. This could be due to a change in healthcare facility, a referral to a specialist, or any other necessary reason. Clearly state the purpose so that it is easily understandable.
3. Include the date and time of the transfer. This helps in maintaining a chronological record of the transfer and can be useful for tracking purposes.
4. Record information about the healthcare provider or facility that the patient is being transferred to. Include their name, contact details, and any specific instructions or requirements for the transfer.
5. Indicate if the patient's medical records or any additional documentation need to be sent alongside the transfer form. This ensures that the receiving facility has all the necessary information for ongoing care.
6. Finally, sign and date the form to verify its completion and authenticity. This signature signifies that the information provided is accurate to the best of your knowledge.

Who needs an infection control transfer form?

1. Healthcare professionals involved in patient care, such as doctors, nurses, and medical assistants, may need an infection control transfer form when the patient is being transferred to another facility or healthcare provider.
2. Facilities that specialize in specific medical conditions or procedures may require an infection control transfer form when accepting patients from other healthcare settings.
3. Patients who are transitioning between healthcare facilities or providers may also benefit from having an infection control transfer form. This document ensures that their medical information is accurately transferred, allowing for continuity of care.

It is important to note that the need for an infection control transfer form may vary based on regional or institutional protocols. It is advisable to consult the specific guidelines and requirements of your healthcare facility or local health authorities.

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