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This version of the form is not currently in use and is provided for reference only. Download this version of
Form ENF-2240B
for the current year.
Form ENF-2240B Patient Transfer Reporting Form - California
What Is Form ENF-2240B?
This is a legal form that was released by the Medical Board of California - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form ENF-2240B?
A: Form ENF-2240B is a Patient Transfer Reporting Form.
Q: What is the purpose of Form ENF-2240B?
A: The purpose of Form ENF-2240B is to report patient transfers in California.
Q: Who is required to complete Form ENF-2240B?
A: Healthcare providers and facilities in California are required to complete Form ENF-2240B.
Q: What information is required on Form ENF-2240B?
A: Form ENF-2240B requires information such as patient demographics, reason for transfer, sending and receiving facilities, and provider information.
Form Details:
- Released on November 1, 2018;
- The latest edition provided by the Medical Board of California;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form ENF-2240B by clicking the link below or browse more documents and templates provided by the Medical Board of California.
Download Form ENF-2240B Patient Transfer Reporting Form - California
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