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 Californa Tranfser Agreement 602 2008-2023

Californa Tranfser Agreement 602 2008-2023

Get the hospital transfer agreement form 2008 template, fill it out, eSign it, and share it in minutes.

ZIP Code To facilitate continuity of care and the timely transfer of patients and records between the hospital and the facility, the parties named above agree as follows: 1. When a patient's need for transfer from one of the above institutions to the other has been determined and substantiated by the patient's physician, the institution to which transfer is to be made agrees to admit the patient as promptly as possible, provided admission requirements in accordance with federal and state...
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Hi I'm going to guide you through the HS 602 transfer agreement this form is used to facilitate the continuity of care and the timely transfer of patients and records between the admitting general acute care hospital that agrees to accept the transfer and the facility this form is a two-page form that requires information from the hospital and the facility please list the complete name of the general acute care hospital which I'll refer to as hospital on the first line of the agreement below the name of the hospital complete street address of the hospital the third line is for the city state and zip code of the hospital below the capitalized word and enter facility information this is for the facility requesting licensure name of the facility this transfer agreement is valid for the complete street address of the facility on the next line and the third line is for the city state and zip code of the facility items number one through eleven are the terms of the agreement between the hosp

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