Af Form 3899c 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
The official website for Air Force e Publishing Official websites use mil A mil website belongs to an official U S Department of Defense organization in the United States 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 3899c
Af Form 3899c
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AF Form 4327A Crew Flight FA Authorization AF Forms
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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
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The official website for Air Force e Publishing Official websites use mil A mil website belongs to an official U S Department of Defense organization in the United States
AF Form 3809 Centralized Point Warning Log Forms Docs 2023
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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 A AF Form 3899C is used by medical personnel responsible for the movement of patients Q What information does AF Form 3899C gather A AF Form 3899C gathers information about the patient s condition medical history and any special considerations for transportation
3899 Form ETP Letter for Multiple NMAs EFMP PCS checklist for AE Moves Patient Movement Briefs with COVID Screening Patient Movement Request Clinical Guide Contacts Follow Us On Office of Public Affairs United States Transportation Command Scott Air Force Base IL 62225 5357 This is a Department of Defense DOD computer system 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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Sets directive guidance for AF Form 3899 series for documentation utilization and training requirements 2 1 2 2 2 Reports and sends questions relating to training and clinical requirements via email amc sgk us af mil and amc ae ehr us af mil DAFI48 107V3 17 DECEMBER 2020 7 2 2 Signed AF Form 3899 How to print 3899 in Trac2es Click PMR tab click search PMR search for pt using any identifier click down carrot under action column click report 3899 select all pages click view pages print ensure Physician signs and dates at bottom of page 1 3 Medications if the medication does not state AE stock on PMR
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Af Form 3899c - [desc-13]