Describe three items that are documented on a health summary transfer form


Any three of the following:
transfer date

name, address, and phone number of the transferring facility and receiving facility

inmate's name, identification number, date of birth

date of last physical

known allergies

date of last tuberculin test and results

behavioral or mental health conditions, suicide attempt, or gesture during current or prior incarceration

medical conditions

current medications, including medication name, dose, frequency

restrictions (if any) on activities, diet, housing, other

adaptive devices

HIV status

Current dental problems

Follow-up appointments

Signature of individual preparing the health summary transfer form and the signature of the person receiving the health transfer information.

Health Professions

You might also like to view...

What does the RQ represent?

a. Matching of respiration to perfusion b. Ratio of the moles of CO2 produced to O2 consumed c. Ratio of O2 consumed to kilograms of ideal body weight d. Ratio of calories consumed to CO2 pro-duced

Health Professions

The Correspondence application is accessible from the following locations:

A. Name Bar > Corr button B. Home module > Patient Info window > Documents tab C. Home module > Practice tab > Unprinted Correspondence D. All of the above

Health Professions

Intentional misrepresentation of facts to deprive someone of their property or legal rights is called:

a. fraud. b. abuse. c. illegal. d. neglect.

Health Professions

Which of these is NOT a normal radiographic landmark often imaged on intraoral radiographs?

a. The maxillary sinus b. The mandibular canal c. The nasal septum d. The occipital bone

Health Professions