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PENNSYLVANIA UNIVERSAL PATIENT TRANSFER FORM (please type or print legibly)Date & Time Patient Name: (Last, First, MI) Date of Birth: (mm/dd/by) Gender: M F Code Status: Full DNR DNI POST OutofHospital
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Pennsylvania universal patient transfer refers to the process of transferring a patient from one healthcare facility to another in a coordinated manner.
Healthcare facilities and providers involved in the transfer of patients are required to file pennsylvania universal patient transfer.
Pennsylvania universal patient transfer forms can be filled out by providing relevant patient and transfer information as requested on the form.
The purpose of pennsylvania universal patient transfer is to ensure a seamless and safe transfer of patients between healthcare facilities.
Information such as patient demographics, medical history, current condition, transferring facility details, receiving facility details, and transfer personnel information must be reported on pennsylvania universal patient transfer.
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