Emergent and Non-Emergent

Interagency Transfer Forms allow healthcare agencies and facilities to exchange information regarding consumer, resident, or patient health conditions and care needs. This ensures ongoing quality of care and consumer, resident, or patient-centered care in any care setting.

Skilled nursing or assisted living facilities licensed by the Division of Health Care Quality (DHCQ) are required to:

• Use the Non-Emergent Interagency Transfer Form when transferring a patient from one healthcare setting to another non-emergent healthcare settings;
  and
• Use the Emergent Interagency Transfer Form when transferring an emergent patient to the acute care setting for emergent care.

An Interagency Transfer Form does not need to be completed by a hospital system if:

• The hospital system is transferring a patient within the hospital system; and
• The sending hospital unit calls the receiving hospital unit with a verbal transfer report prior to the transfer (this must be documented in the medical record); and
• The receiving unit has immediate access to the entire medical record.

For further guidance, contact DHCQ Director Amanda Levering at amanda.levering@delaware.gov.