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EXHIBIT A FEE SCHEDULE AMBULANCE BLS Emergent 911 BLS Convergent Transfer ALS Level 1 Emergent 911 ALS Level 1 Transfer ALS Level 2 Emergent 911 ALS Specialty Care Transport Ambulance Standby Fee Mileage
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How to fill out bls non-emergent transfer

01
To fill out a BLS non-emergent transfer form, follow these steps:
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Obtain the necessary form: Contact the specific healthcare facility or transportation agency to obtain the BLS non-emergent transfer form.
03
Gather patient information: Fill out the form with the required patient information, which may include the patient's name, address, contact number, date of birth, and insurance information.
04
Provide medical history: Include the patient's medical history, including current medical conditions, allergies, medications, and any recent surgeries or hospitalizations.
05
Specify transfer details: Indicate the reason for the transfer and the destination facility where the patient needs to be transported.
06
Document vital signs: Record the patient's vital signs, such as blood pressure, heart rate, respiratory rate, and oxygen saturation.
07
Include accompanying personnel: If necessary, indicate whether the patient requires any specific medical personnel or equipment during the transfer.
08
Sign and submit the form: Once all the required information is filled out accurately, sign the form and submit it to the appropriate authority or healthcare provider.

Who needs bls non-emergent transfer?

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BLS non-emergent transfer is typically needed by patients who require transportation between healthcare facilities or medical centers for non-urgent or non-emergency medical purposes.
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Some common examples of individuals who may need BLS non-emergent transfer include:
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- Patients being transferred for outpatient procedures or diagnostic tests
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- Individuals requiring specialized medical care at a different facility
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- Patients needing transportation for follow-up appointments or consultations
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- Individuals undergoing rehabilitation or physical therapy at a different location
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- Patients who do not require immediate emergency medical attention but still need professional assistance during transportation.
08
It is important to check with the healthcare provider or transportation agency for specific eligibility criteria and requirements for BLS non-emergent transfer.
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BLS non-emergent transfer refers to Basic Life Support transportation for patients who do not require immediate medical attention.
Healthcare providers or medical facilities that are responsible for arranging non-emergency medical transportation.
The BLS non-emergent transfer form must be completed with patient information, reason for transport, destination, and any necessary medical details.
The purpose of BLS non-emergent transfer is to safely transport patients who do not require emergency medical treatment.
Patient demographics, medical condition, reason for transport, destination, and any specific medical instructions.
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