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Either a written request or the generic Request for Hearing form SFN 162 at https //www. nd. gov/eforms/Doc/sfn00162. Pdf can be used. If needed the Appeals Supervisor will assist you in completing and submitting the appeal hearing request. Gov 701-328-4617 or 1-855-462-5465 If you are a resident with intellectual and developmental disability or related disabilities or a mental disorder or related disabilities assistance may be obtained from Office of Protection and Advocacy 400 E Broadway...

How to fill out SWING BED NOTICE OF TRANSFER OR DISCHARGE

How to fill out SWING BED NOTICE OF TRANSFER OR DISCHARGE

1. Begin by downloading the SWING BED NOTICE OF TRANSFER OR DISCHARGE form from the relevant healthcare authority or facility website.
2. Fill in the patient's full name, date of birth, and medical record number at the top of the form.
3. Specify the date of transfer or discharge in the designated section.
4. Provide details of the current healthcare facility, including name and address.
5. Enter the name and address of the facility or home to which the patient is being transferred.
6. Include any specific instructions or notes regarding the patient's care during the transfer.
7. Ensure that you have the appropriate signatures from the attending physician and any required witnesses.
8. Review the completed form for accuracy and completeness before submission.
9. Submit the form to the appropriate parties involved, including the new facility and the patient's medical record.

Who needs SWING BED NOTICE OF TRANSFER OR DISCHARGE?

1. Hospitals and healthcare facilities that provide swing bed services.
2. Patients being transferred from one healthcare facility to another.
3. Healthcare professionals involved in the planning and execution of patient transfers or discharges.
4. Family members or caregivers of patients who need to understand the transfer process.

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What is SWING BED NOTICE OF TRANSFER OR DISCHARGE?

The SWING BED NOTICE OF TRANSFER OR DISCHARGE is a document that notifies relevant parties of the transfer or discharge of a patient from a swing bed program, which is a type of care that allows hospitals to use beds for skilled nursing services.

Who is required to file SWING BED NOTICE OF TRANSFER OR DISCHARGE?

The hospital or healthcare facility that is providing swing bed services is required to file the SWING BED NOTICE OF TRANSFER OR DISCHARGE when a patient is transferred to another facility or discharged.

How to fill out SWING BED NOTICE OF TRANSFER OR DISCHARGE?

To fill out the SWING BED NOTICE OF TRANSFER OR DISCHARGE, the responsible staff must include patient information, the reason for transfer or discharge, the destination of the patient, and any other required details as outlined in the facility's procedures.

What is the purpose of SWING BED NOTICE OF TRANSFER OR DISCHARGE?

The purpose of the SWING BED NOTICE OF TRANSFER OR DISCHARGE is to ensure proper communication among healthcare providers regarding a patient's care transition, facilitate continuity of care, and adhere to regulatory requirements.

What information must be reported on SWING BED NOTICE OF TRANSFER OR DISCHARGE?

The SWING BED NOTICE OF TRANSFER OR DISCHARGE must report details such as patient identification, the reason for transfer or discharge, the effective date of the transfer or discharge, and the destination for the transfer, among other pertinent information.