Instructions for DNR Form 962-5, 962-3 Expedited Transfer Process - Nebraska

DNR Form 962-3 Application for a Permit for an Expedited Transfer of the Location of Use - Nebraska

This document contains official instructions for DNR Form 962-5 , and DNR Form 962-3 . Both forms are released and collected by the Nebraska Department of Natural Resources. An up-to-date fillable DNR Form 962-3 is available for download through this link.

FAQ

Q: What is the purpose of DNR Form 962-5?
A: DNR Form 962-5 is used for the expedited transfer process in Nebraska.

Q: What is the purpose of DNR Form 962-3?
A: DNR Form 962-3 is also used for the expedited transfer process in Nebraska.

Q: How does the expedited transfer process work?
A: The expedited transfer process allows individuals to transfer a patient from one medical facility to another in emergency situations.

Q: Who can initiate the expedited transfer process?
A: The expedited transfer process can be initiated by a physician, nurse practitioner, or physician assistant.

Q: What information is required on DNR Form 962-5 and 962-3?
A: The forms require information about the patient, the transferring facility, and the receiving facility.

Q: Are there any fees associated with the expedited transfer process?
A: There are no fees associated with the expedited transfer process in Nebraska.

Q: Can an expedited transfer be requested for non-emergency situations?
A: No, the expedited transfer process is only for emergency situations.

Q: How long does the expedited transfer process take?
A: The length of the expedited transfer process can vary depending on the circumstances and availability of receiving facilities.

Q: Can a patient refuse to be transferred?
A: Yes, a patient has the right to refuse transfer during the expedited transfer process.