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1. Click ‘Get Form’ to open the Ambulance Transfer Form in our editor.
2. Begin by placing the patient sticker in the designated area at the top of the form. This helps identify the patient clearly.
3. Fill in the 'Transport Date', 'Transport From', and 'Transport To' fields with accurate information regarding the patient's transport details.
4. Enter the patient's name and date of birth in their respective fields to ensure proper identification.
5. Complete the 'Attending Physician' and 'Diagnosis/Medical Need for Ambulance' sections, checking all applicable boxes that describe the patient's condition.
6. In the section for transfer requirements, check all relevant options that apply to your patient’s needs during transport.
7. Finally, have the attending physician print their name, sign, and date at the bottom of the form to certify its accuracy.

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