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CORE PETS ACUTE INTERACTIVITY NEONATAL TRANSPORT FORM 2016 PLEASE PRINT CLEARLY REFERRAL Special Situations: None Delivery Attendance Transport by Sending Facility Transport from ER Safe Surrender
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How to fill out 2016 neonatal-transport-form - California:

01
Start by gathering all the necessary information including the baby's name, date of birth, and medical history.
02
Fill in the contact information section with the names and phone numbers of the parents or guardians.
03
Provide the details of the referring hospital or facility, including the name, address, and phone number.
04
Indicate the reason for transport and the mode of transportation that will be used (e.g., ambulance, helicopter).
05
Document any special instructions or considerations for the transport team, such as allergies or equipment needed.
06
Complete the section for the receiving hospital or facility, providing their name, address, and contact information.
07
Include any additional information that may be relevant or important for the transport team to know.
08
Review the form for accuracy and make sure all required fields are completed.
09
Sign and date the form to indicate your agreement and understanding.
10
Keep a copy of the filled-out form for your records and submit the original to the appropriate healthcare provider.

Who needs 2016 neonatal-transport-form - California:

01
Parents or guardians of neonatal babies who require transportation from one healthcare facility to another.
02
Healthcare professionals involved in the care and transport of neonatal patients, including doctors, nurses, and medical transport teams.
03
Hospitals and healthcare facilities that provide neonatal services and need to document and coordinate transports for their patients.
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Neonatal-transport-form - California perinatal is a form used to report neonatal transport information in California.
Healthcare facilities and providers involved in neonatal transport are required to file the neonatal-transport-form - California perinatal.
The neonatal-transport-form - California perinatal can be filled out by providing detailed information about the neonatal transport, including patient details, transport provider information, and medical procedures performed during the transport.
The purpose of neonatal-transport-form - California perinatal is to ensure accurate reporting and tracking of neonatal transports in California for quality assurance and data collection purposes.
Information such as patient demographics, transport provider details, medical interventions performed, and outcome of the transport must be reported on the neonatal-transport-form - California perinatal.
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