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PATIENT TRANSFER INFORMATION Community Regional Medical Center 2823 Fresno Street Fresno, CA 93721 Contact: Transfer Center (559) 4595555 Fax (559) 4596048 Hours: 24/7 Requestor Contact Information
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How to fill out patient transfer information

How to fill out patient transfer information:
01
Begin by gathering all necessary patient information such as their name, date of birth, and contact details.
02
Include the reason for the patient transfer, whether it is for medical treatment, specialty care, or a change in healthcare facility.
03
Specify the current healthcare provider or hospital where the patient is being transferred from, including their contact information.
04
Provide details about the receiving healthcare provider or facility, including their name, address, and contact information.
05
Include any special instructions or requirements for the patient transfer, such as medical equipment or medication needed during transportation.
06
Document the date and time of the transfer, as well as any anticipated arrival time at the receiving facility.
07
Ensure that the patient or their legal guardian has signed and consented to the transfer, acknowledging the risks and understanding the purpose of the transfer.
08
Double-check all information for accuracy and completeness before submitting the patient transfer form.
Who needs patient transfer information:
01
Healthcare providers: Doctors, nurses, and other healthcare professionals involved in the patient's care need access to the transfer information to ensure a smooth transition and continuation of care.
02
Ambulance or transportation services: The patient transfer information is essential for ambulance crews or transportation services to understand the patient's medical needs and ensure a safe transfer.
03
Receiving healthcare facility: The receiving healthcare facility needs the patient transfer information to prepare for the patient's arrival, allocate resources, and provide appropriate care. They also need to coordinate with the transferring facility for a seamless transition.
04
Insurance companies: If the patient transfer involves insurance coverage, insurance providers may require the transfer information to assess coverage and process claims.
05
Legal representatives: In certain cases, legal representatives, such as attorneys or guardians, may need access to patient transfer information to ensure the patient's rights and interests are protected during the transfer process.
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What is patient transfer information?
Patient transfer information includes details about a patient being transferred from one healthcare facility to another, such as medical history, current condition, and treatment plans.
Who is required to file patient transfer information?
Healthcare providers and facilities involved in the transfer of a patient are required to file patient transfer information.
How to fill out patient transfer information?
Patient transfer information can be filled out by documenting relevant patient details in a standardized form or electronic health record system.
What is the purpose of patient transfer information?
The purpose of patient transfer information is to ensure continuity of care for the patient and to provide essential medical information to the receiving healthcare facility.
What information must be reported on patient transfer information?
Patient's medical history, current diagnosis, treatment plan, medications, allergies, and any other relevant healthcare information must be reported on patient transfer information.
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