
Get the free INTER-HOSPITAL TRANSFER PROFORMA FORM FOR BRONCHOSCOPY
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Interhospital transfer proforma for a bronchoscopy
at Royal Brampton Hospital respiratory medicine department
Please complete in full and fax to 0207 351 8003
(also see useful information and contact
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How to fill out inter-hospital transfer proforma form

How to fill out inter-hospital transfer proforma form
01
To fill out the inter-hospital transfer proforma form, follow these steps:
02
Start by providing the patient's basic information, including their name, age, gender, and contact details.
03
Fill in the details of the referring hospital, such as its name, address, and contact information.
04
Enter the details of the receiving hospital, including its name, address, and contact information.
05
Specify the reason for the transfer, such as the need for specialized treatment or facilities not available at the referring hospital.
06
Include information about the patient's current medical condition and any relevant medical history.
07
Provide details about the mode of transport for the transfer, whether it is an ambulance, helicopter, or other means.
08
Indicate the required medical personnel during the transfer, including doctors, nurses, or paramedics.
09
Mention any specific instructions or special considerations for the transfer, such as the need for life support equipment or medications.
10
Ensure that all the necessary signatures of the referring and receiving hospitals, as well as the patient or their legal guardian, are obtained.
11
Double-check the completed form for accuracy and completeness before submitting it.
12
Remember to adhere to any specific guidelines or protocols established by your healthcare institution while filling out the inter-hospital transfer proforma form.
Who needs inter-hospital transfer proforma form?
01
Inter-hospital transfer proforma forms are typically needed by healthcare professionals or institutions involved in transferring patients from one hospital to another.
02
This may include referring hospitals, receiving hospitals, medical professionals coordinating the transfer, and ambulance services.
03
These forms ensure that all necessary information about the patient and the transfer is properly documented and shared between healthcare facilities.
04
They help in ensuring a smooth and coordinated transfer process, especially when the patient requires specialized care or facilities not available at the referring hospital.
05
Ultimately, the inter-hospital transfer proforma form is beneficial for improving patient safety and facilitating effective communication between healthcare providers during hospital transfers.
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What is inter-hospital transfer proforma form?
The inter-hospital transfer proforma form is a document used to facilitate the transfer of patients between different healthcare facilities.
Who is required to file inter-hospital transfer proforma form?
Healthcare professionals responsible for transferring patients between hospitals are required to fill out the inter-hospital transfer proforma form.
How to fill out inter-hospital transfer proforma form?
To fill out the inter-hospital transfer proforma form, healthcare professionals need to provide detailed information about the patient, reason for transfer, medical history, and any special requirements during transportation.
What is the purpose of inter-hospital transfer proforma form?
The purpose of the inter-hospital transfer proforma form is to ensure a smooth transition and continuity of care for patients being transferred between healthcare facilities.
What information must be reported on inter-hospital transfer proforma form?
The inter-hospital transfer proforma form should include patient demographics, medical diagnosis, treatment plans, medications, allergies, and contact information for the receiving facility.
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