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OKLAHOMA DEPARTMENT OF CORRECTIONS MEDICAL TRANSFER REQUEST Move Request: Medical Move Date: Time: Requesting Facility: Requesting HSA/Provider: Inmate Name: DOC #: DOB: Gender: M F Security Level:
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How to fill out medical transfer

01
Step 1: Obtain a medical transfer form from your healthcare provider or hospital.
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Step 2: Fill out your personal information, including your name, date of birth, and contact information.
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Step 3: Provide details about your current medical condition and any relevant medical history.
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Step 4: Specify the reason for the transfer and the name of the healthcare facility or doctor you are being transferred to.
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Step 5: If necessary, provide information about any special medical equipment or accommodations required during the transfer.
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Step 6: Review the completed form for accuracy and sign it.
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Step 7: Submit the form to your healthcare provider or hospital for processing.

Who needs medical transfer?

01
Medical transfer is typically needed by individuals who require specialized medical care that is not available at their current healthcare facility.
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This may include patients with complex medical conditions, those in need of specialized treatments, or individuals who need to be transferred to a higher level of care.
03
Medical transfer may also be necessary for patients who need to be transferred between hospitals or healthcare facilities for various reasons, such as for surgical procedures or diagnostic tests.
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Medical transfer is the process of transferring a patient from one medical facility or provider to another for specialized care or treatment.
The healthcare provider or facility responsible for the patient's care is typically required to initiate and file a medical transfer.
Medical transfer forms usually require detailed information about the patient, their medical condition, the reason for transfer, and contact information for the sending and receiving facilities.
The purpose of a medical transfer is to ensure that a patient receives appropriate and timely medical treatment that may not be available at their current location.
Information that must be reported on a medical transfer form includes patient demographics, medical history, current condition, reason for transfer, medications, and any special instructions.
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