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INTRASTATE TRANSFER HEALTH SCREENING Health/Mental Health trained staff will complete the health screening immediately upon offender arrival at the receiving institution. Route to the health service
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How to fill out intra-system transfer health screening

01
Obtain the health screening form from the appropriate department.
02
Fill out your personal information including your name, date of birth, and contact details.
03
Read the instructions carefully and provide accurate information.
04
Answer all the questions related to your medical history, allergies, and current health condition.
05
If any question requires additional details, provide them in the given space or attach relevant documents.
06
Review the completed form to ensure all sections are filled out correctly.
07
Sign and date the form to confirm the accuracy of the provided information.
08
Submit the filled form to the designated recipient or department.
09
Keep a copy of the completed form for your records.

Who needs intra-system transfer health screening?

01
Intra-system transfer health screening is required for individuals who are being transferred internally from one department or location to another within a specific system or organization.
02
This could include employees, students, or any person who is part of the internal system and needs to undergo a health screening process as part of the transfer.
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