Transfer and Referral Record - DIGITAL FORM
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The advantages of Briggs Digital on Demand forms:
• | Updates included with annual subscription |
• | Form-fillable PDF documents at your fingertips |
• | Easy to complete on any device; or print when you need them |
• | No shipping charges or delivery delays |
• | Never on back order |
UPDATED 2024
Transfer and Referral Record provides information to ensure that a resident has a safe and orderly transfer from your facility to another facility. Includes:
• | Demographic information |
• | Diagnoses/Procedures |
• | Allergies: Drug and Food |
• | Medications |
• | Treatments |
• | Vaccinations - now includes COVID-19 vaccination status |
• | Assistance Needed |
• | Presence of Infection |
• | Vital Signs |
• | Verbal Communication of Information to the Receiving Facility |
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*SUBSCRIPTION: Form access is licensed for 1-year per agency/facility location. Multiple sites require a quote. This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment) and provide the facility/agency address. After 1- year, your subscription will automatically renew.
All Briggs Digital on Demand products require a credit card payment (or pre-payment) to receive digital files electronically.
Briggs Healthcare does not allow use of any of its intellectual property without a valid license and payment of fees.
Delivery: Digital* form-fillable PDF
Digital/electronic merchandise & subscriptions: all digital and electronic products and subscriptions are non-refundable and non-returnable.
*SUBSCRIPTION: Form access is licensed for 1-year per agency/facility location. Multiple sites require a quote. This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment) and provide the facility/agency address. After 1- year, your subscription will automatically renew.
All Briggs Digital on Demand products require a credit card payment (or pre-payment) to receive digital files electronically.
Briggs Healthcare does not allow use of any of its intellectual property without a valid license and payment of fees.