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The HS 602 transfer agreement form is designed to ensure seamless patient care and the prompt transfer of patients and records between the admitting general acute care hospital and the requesting facility. This two-page form requires detailed information from both the hospital and the facility. The first section requires the complete name, street address, and city, state, and zip code of the general acute care hospital. Following that, the facility requesting licensure must provide its complete name, address, and location details. Additionally, items one through eleven outline the specific terms of the agreement between the hospitals involved.
