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Get and Sign Form Inter Facility Transfer

Get and Sign Form Inter Facility Transfer

Use a Form Inter Facility Transfer 0 template to make your document workflow more streamlined.

Being transferred (patient request, no beds, etc.) 4. Make photocopies of all Emergency Department records and send with the patient to receiving facility. 5. Sign transfer form after all above are completed; attach copy of records going with patient to receiving facility. Retain original with hospital records. TO BE COMPLETED FOR EVERY TRANSFER REQUEST TO AND FROM A VA MEDICAL FACILITY SECTION I - DEMOGRAPHIC AND ELIGIBILITY INFORMATION 4. ADDRESS 1. VETERAN'S LAST NAME- FIRST NAME- MIDDLE...
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