Af Form 3899k 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
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 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
Af Form 3899k
Af Form 3899k
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AF Form 8 Certificate Of Aircrew Qualification AF Forms
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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
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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 899 Fill Out Printable PDF Forms Online
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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 3899K is used by medical personnel involved in patient movement and in flight resuscitation Q What information is recorded on AF Form 3899K A AF Form 3899K records details about the patient vital signs medical equipment medications administered and any significant events that occur during patient movement and in flight
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 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
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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 The AF Form 3899K also known as the Patient Movement In Flight Resuscitation Flow Sheet is a vital tool used by medical professionals in the United States Air Force This form serves as a comprehensive record of medical interventions and treatments administered during in flight resuscitations
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