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TRANSITIONAL SCREENING FORM Date of Hospital Admission: Current Hospital Readmission within 30 days? Reason for current admission: Anticipated discharge date: Services explained? Patient Consent to
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The transitional screening form date refers to the date by which transitional screening forms must be completed and submitted.
Any individual or entity that meets the criteria for transitional screening is required to file the form.
The transitional screening form must be completed with accurate information and submitted by the deadline.
The purpose of the transitional screening form is to assess and report any potential risks associated with the transition process.
The form requires information about the individual or entity undergoing the transition, as well as details about the transition itself.
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