Instructions for DNR Form 962-5, 962-3 Expedited Transfer Process - Nebraska

Instructions for DNR Form 962-5, 962-3 Expedited Transfer Process - Nebraska

This document contains official instructions for DNR Form 962-5 , and DNR Form 962-3 . Both forms are released and collected by the Nebraska Department of Natural Resources. An up-to-date fillable DNR Form 962-3 is available for download through this link.

FAQ

Q: What is the purpose of DNR Form 962-5?A: DNR Form 962-5 is used for the expedited transfer process in Nebraska.

Q: What is the purpose of DNR Form 962-3?A: DNR Form 962-3 is also used for the expedited transfer process in Nebraska.

Q: How does the expedited transfer process work?A: The expedited transfer process allows individuals to transfer a patient from one medical facility to another in emergency situations.

Q: Who can initiate the expedited transfer process?A: The expedited transfer process can be initiated by a physician, nurse practitioner, or physician assistant.

Q: What information is required on DNR Form 962-5 and 962-3?A: The forms require information about the patient, the transferring facility, and the receiving facility.

Q: Are there any fees associated with the expedited transfer process?A: There are no fees associated with the expedited transfer process in Nebraska.

Q: Can an expedited transfer be requested for non-emergency situations?A: No, the expedited transfer process is only for emergency situations.

Q: How long does the expedited transfer process take?A: The length of the expedited transfer process can vary depending on the circumstances and availability of receiving facilities.

Q: Can a patient refuse to be transferred?A: Yes, a patient has the right to refuse transfer during the expedited transfer process.

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Instruction Details:

  • This 3-page document is available for download in PDF;
  • Actual and applicable for the current year;
  • Complete, printable, and free.

Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the Nebraska Department of Natural Resources.

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