112 yeşil kart sevk formu 2026

1. Click ‘Get Form’ to open the 112 yeşil kart sevk formu in the editor.
2. Begin by entering the date at the top of the form. This is crucial for record-keeping.
3. Fill in the 'SEVK EDEN KURUM' section with the name of the institution referring the patient.
4. Provide patient identification details, including age, gender, full name, T.C. identity number, and social security information.
5. Indicate whether intercity transfer approval is needed by checking the appropriate box.
6. In the 'HASTANIN KLİNİK BİLGİLERİ' section, enter vital signs and clinical findings accurately.
7. Specify any medical procedures performed and medications given in their respective fields.
8. Clearly state the reason for transfer and any necessary equipment or specialist requirements.
9. Complete the 'NAKİL BİLGİLERİ' section based on transportation method and rationale for transfer.
10. Ensure that both referring doctor and on-call specialist sign off on the form before submission.

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