PATIENT TRANSFER AGREEMENT BETWEEN: _________________________________________ [Transferring Institution] ____________________________________________ [Receiving Institution]Patient Transfer Agreement • September 9th, 2020 • Washington
Contract Type FiledSeptember 9th, 2020 JurisdictionTHIS PATIENT TRANSFER AGREEMENT, hereinafter referred to as “Agreement”, made and entered into this first day of __________________[Month, Year] by and between, ________________________[Transferring Institution], hereinafter referred to as “___________” [Institution Initials] or “institution” and ___________________________ [Receiving Institution], hereinafter referred to as “____________” [Institution Initials] or “institution”.