span class result type PDF span Aero Medical Evacuation Ustranscom, AF IMT 3899 20060819 V1 REVERSE 1 NAME Last First Middle Initial 2 GRADE 3 SSN PERMANENT MEDICAL RECORD 4 ALLERGIES 5 ORIGINATING MTF 6 DESTINATION MTF no patient will self medicate PATIENT MOVEMENT PHYSICIAN ORDERS with the following medications MEMORANDUM FOR THE RECORD. span class result type PDF span PATIENT MOVEMENT RECORD Military Health System, AF IMT 3899 20060819 V1 TPMRC W Modified Overprint PERTINENT CLINICAL HISTORY Transfer Summary Per DAFI 48 107V3 The attending provider will sign the AF Form 3899 consultation with the TPMRCW TVFS has been completed the patient condition is stable and cleared for Flight For providers and staff leave this field blank
.Af Form 3899a
Af Form 3899a
span class result type PDF span Aero Medical Evacuation Ustranscom
AF IMT 3899 20060819 V1 REVERSE 1 NAME Last First Middle Initial 2 GRADE 3 SSN PERMANENT MEDICAL RECORD 4 ALLERGIES 5 ORIGINATING MTF 6 DESTINATION MTF no patient will self medicate PATIENT MOVEMENT PHYSICIAN ORDERS with the following medications MEMORANDUM FOR THE RECORD.
span class result type PDF span Patient Movement Record Tricare
AF IMT 3899 20060819 V1 PERTINENT CLINICAL HISTORY Transfer Summary Per AFI 48 307V3 The attending provider will sign the AF Form 3899 consultation with the TPMRCW TVFS has been completed the patient is stable and cleared for Flight For providers and staff leave this field blank Air Evac admin staff will insert this number .
https://www.templateroller.com/template/1900190/af-imt-form-3899a-patient-movement-record-progress-note.html
A AF IMT Form 3899A is used by medical personnel who are involved in patient movement Q What information is recorded on AF IMT Form 3899A A AF IMT Form 3899A records information such as patient s name diagnosis treatment mode of transportation and remarks
https://www.ustranscom.mil/mov/docs/Patient%20Air%20Evacuation.pdf
AF IMT 3899 20060819 V1 REVERSE 1 NAME Last First Middle Initial 2 GRADE 3 SSN PERMANENT MEDICAL RECORD 4 ALLERGIES 5 ORIGINATING MTF 6 DESTINATION MTF no patient will self medicate PATIENT MOVEMENT PHYSICIAN ORDERS with the following medications MEMORANDUM FOR THE RECORD
span class result type PDF span Patient Movement Record Enroute Critical C Re Af
AF 3899L 20140107 V2 0 PATIENT MOVEMENT RECORD ENROUTE CRITICAL C RE DATA PROTECTED BY PRIVACY ACT OF 1974 PERMANENT MEDICAL RECORD 1 Name 2 SSN 3 Cite 4 Age 5 Sex 6 WT 7 HT 8 Allergies 9 Precedence10 Date Time 11 Originating facility 12 Destination Facility 13 AC Tail 14 AE CCAT unit 15 CCAT pts.
span class result type PDF span By Order of The Department of Air Force Secretary of The Air Force Af
Office of Primary Responsibility OPR using AF Form 847 Recommendation for Change of Publication route the AF Form 847 through the appropriate chain of command and parent Major AF Form 3899A Patient Movement Record Progress Note Front and Back 22 4 4 AF Form 3899B Patient Movement Physician Orders .
span class result type PDF span AFFORM3899M 20140813
Continue flow sheet on the backofthis form AFFORM3899M 20140813 PATIENT MOVEMENTRECORD PCA PNB EPIDURAL HAND OFF DATAPROTECTEDBY PRIVACYACTOF 1974 PERMANENTMEDICALRECORD ASSESSMENT PROGRESS Continued NAME Last First Middle Initial DOB STATUS SERVICE CITE PATIENT ID .
Air Evacuations TRICARE
The following documents AF Form 3899 Aeromedical Evacuation Patient Record DA Form 3981 Request for Patient Transfer and a Narrative Summary to include patient s history and current condition need to be completed and submitted to the Air Evacuation so that the patient can be regulated in TRAC2es Patients cannot be regulated without the .
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