This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
Transfer of Planned out-Of-Hospital Delivery to Hospital Reporting Form is a legal document that was released by the Medical Board of California - a government authority operating within California.
Q: What is the Transfer of Planned out-Of-Hospital Delivery to Hospital Reporting Form?
A: The Transfer of Planned out-Of-Hospital Delivery to Hospital Reporting Form is a form used in California to document the transfer of a planned out-of-hospital delivery to a hospital.
Q: Why is this form used?
A: This form is used to ensure that accurate and complete information about the transfer of a planned out-of-hospital delivery to a hospital is collected and reported.
Q: Who is responsible for completing this form?
A: The person or healthcare provider responsible for the transfer of the planned out-of-hospital delivery to a hospital is responsible for completing this form.
Q: What information is documented on this form?
A: This form documents information such as the patient's demographic information, details about the planned out-of-hospital delivery, information about the transfer process and any complications that occurred during the transfer.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Medical Board of California.