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EMERGENCY TRANSFER
U.S. Department of Housing
REQUEST FOR CERTAIN
and Urban Development
VICTIMS OF DOMESTIC
VIOLENCE, DATING VIOLENCE,
SEXUAL ASSAULT, OR STALKING OMB Approval No.
25770286Purpose
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What is emergency transfer?
Emergency transfer is the process of moving a patient from one healthcare facility to another in a medical emergency.
Who is required to file emergency transfer?
Medical personnel such as doctors, nurses, or emergency medical technicians are required to file emergency transfer.
How to fill out emergency transfer?
Emergency transfer forms can be filled out by providing patient information, reason for transfer, receiving facility details, and any other relevant medical information.
What is the purpose of emergency transfer?
The purpose of emergency transfer is to ensure that a patient receives the necessary medical care in a timely manner.
What information must be reported on emergency transfer?
Information such as patient's name, medical history, reason for transfer, vital signs, and receiving facility information must be reported on emergency transfer.
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