Infection Control Transfer Form

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Author: Alameda County Public Health Department

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Infection Control Transfer Form

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This form should be sent with the patient/resident upon transfer.

It is NOT meant to be used as criteria for admission, only to foster the continuum of care once admission has been accepted.

Program: Community Health

Submitted Date: Jan 31, 2025 | Modified Date: May 22, 2026

Primary Toolkit: IPC Resource Library | Secondary Toolkit: N/A

Jurisdiction: county

Institution Type: LHD - County,

Keywords: Infectious Disease, IPC Resource Library

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