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Form ENF-2240B Patient Transfer Reporting Form - California
What Is Form ENF-2240B?
This is a legal form that was released by the California Department of Health Care Access and Information - 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 the ENF-2240B form?
A: The ENF-2240B form is the Patient Transfer Reporting Form used in California.
Q: What is the purpose of the ENF-2240B form?
A: The purpose of the ENF-2240B form is to report patient transfers in California.
Q: Who uses the ENF-2240B form?
A: The ENF-2240B form is used by healthcare providers in California.
Q: What information is required on the ENF-2240B form?
A: The ENF-2240B form requires information such as patient details, transferring facility details, receiving facility details, and transfer date and time.
Form Details:
- Released on January 1, 2023;
- The latest edition provided by the California Department of Health Care Access and Information;
- 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 California Department of Health Care Access and Information.
Download Form ENF-2240B Patient Transfer Reporting Form - California
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