Transportation to Receiving Facility Form
This app must be completed and must be submitted to the receiving facility for inclusion in the clinical record.
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A copy may be retained by the law enforcement agency and by the medical transport service. The law enforcement agency and the transport service must agree that the continued presence of law enforcement personnel is not expected at the time of consignment to be necessary for the safety of the person or others. Use the app to also indicate personal knowledge by family members and others about the person’s condition. The Transportation to Receiving Facility Form mobile app allows you to replace your paper receiving form with a tablet or smartphone. The mobile form includes fields to document items such as the name of person, time, date, facility name and pick up address. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your transportation and receiving records. You can also use the App Builder to personalize and customize this mobile form.
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