EMS Transfer of Care Form - Pennsylvania

EMS Transfer of Care Form - Pennsylvania

EMS Transfer of Care Form is a legal document that was released by the Pennsylvania Department of Health - a government authority operating within Pennsylvania.

FAQ

Q: What is an EMS Transfer of Care Form?
A: An EMS Transfer of Care Form is a document used by emergency medical services (EMS) personnel to relay important patient information to receiving healthcare providers.

Q: Why is an EMS Transfer of Care Form used?
A: An EMS Transfer of Care Form is used to ensure a smooth transition of care from EMS personnel to healthcare providers by providing them with details about the patient's condition, vital signs, medications, and any interventions performed.

Q: Who fills out an EMS Transfer of Care Form?
A: EMS personnel, who have been in charge of treating and transporting a patient, fill out an EMS Transfer of Care Form.

Q: What information is included in an EMS Transfer of Care Form?
A: An EMS Transfer of Care Form typically includes information such as patient demographics, chief complaint, medical history, medications, allergies, vital signs, interventions performed, and any changes in the patient's condition during transport.

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Form Details:

  • Released on March 31, 2021;
  • The latest edition currently provided by the Pennsylvania Department of Health;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Pennsylvania Department of Health.

Download EMS Transfer of Care Form - Pennsylvania

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  • EMS Transfer of Care Form - Pennsylvania, Page 1
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