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EXTENDED CARE FACILITY TRANSFER FORM I To Be Completed by Nurse GI / GU Abdomen: Soft Firm Distended Bowel Sounds: Incontinent of Stool: Yes No
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NE1268 Extended Care Facility is a form used to report information on patients receiving extended care services in a healthcare facility.
Healthcare facilities providing extended care services are required to file NE1268 Extended Care Facility.
NE1268 Extended Care Facility should be filled out with the necessary patient information and extended care service details as per the form instructions.
The purpose of NE1268 Extended Care Facility is to accurately report information on patients receiving extended care services for documentation and billing purposes.
Information such as patient demographics, medical history, extended care services provided, and billing details must be reported on NE1268 Extended Care Facility.
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