AF IMT Form 3854 Receipt for Patient's Valuables

AF IMT Form 3854 Receipt for Patient's Valuables

What Is AF IMT Form 3854?

This is a legal form that was released by the U.S. Air Force IMT (Information Management Tool) on September 1, 1994 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is AF IMT Form 3854?
A: AF IMT Form 3854 is the form used to document the receipt of a patient's valuables in an Air Force medical treatment facility.

Q: What does AF IMT stand for?
A: AF IMT stands for Air Force Information Management Tool.

Q: What is the purpose of the form?
A: The form is used to record and provide a receipt for the patient's valuables that are entrusted to the medical treatment facility for safekeeping during their stay.

Q: Who uses AF IMT Form 3854?
A: The form is used by medical personnel in Air Force medical treatment facilities.

Q: What information is included on the form?
A: The form includes the patient's name, unit of assignment, date of admission, description of the valuables, and signatures of the individual receiving the valuables and the patient.

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Form Details:

  • Released on September 1, 1994;
  • The latest available edition released by the U.S. Air Force IMT (Information Management Tool);
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of AF IMT Form 3854 by clicking the link below or browse more documents and templates provided by the U.S. Air Force IMT (Information Management Tool).

Download AF IMT Form 3854 Receipt for Patient's Valuables

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  • AF IMT Form 3854 Receipt for Patients Valuables, Page 1
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