Individual Transfer / Blue Form
Purpose: To provide for more effective communication and collaboration between hospitals and assisted living facilities (ALF)/skilled nursing facilities (SNF).
- Print the Transfer Form on BLUE paper
Download form for manual completion
Download form for electronic completion
- Send with any resident on for an emergency room (ER) visit
Transitions in Care (TIC) Committee: Download Strategic Plan
Date Last Updated: 11/25/2019 2:18 pm