59MDWI41-122 governs patient transfers to and from 59th Medical Wing Lackland clinics, including emergency and inpatient transfers.
View 59MDWI41-122 on armypubs.army.mil
It covers transfer guidance, care for unstable patients, WHASC Mental Health Clinic transfers, and transfers from clinics to higher levels of care. It requires facility and EMTALA compliance, transfer documentation, provider coordination, and recorded consent where specified.
Applies to: This publication applies to all personnel assigned, attached, or under contract to the 59th Medical Wing (MDW) with the exception of personnel working under the purview of the 959th Medical Group [Brooke Army Medical Center (BAMC)] and those at the 559th Medical Squadron (Joint Base San Antonio - Randolph).
Transfer of care is made when the patient cannot be given the appropriate level of care in their current clinical location and currently available resources to sustain a particular patient’s normal state of health. (paragraph 1)
All transfers must meet facility and Emergency Medical Treatment and Active Labor Act (EMTALA) requirements. (paragraph 1)
Form required to be completed PRIOR to calling for Emergency Medical Services (EMS) transport. (paragraph 1)
Coordination conversation with accepting facility and/or provider MUST occur prior to filling out the 59 MDW Form 27. (paragraph 1)
Call 911 from a Joint Base San Antonio - Lackland telephone. (paragraph 2)