Validity Period of the Referral Document?
According to Clause 5, Article 15 of Decree 146/2018/ND-CP stipulates as follows:
In the case of patient transfer, participants in health insurance must present the transfer dossier from the healthcare facility and the transfer form according to Form No. 6 Appendix issued with this Decree. If the transfer form is valid until December 31 but the treatment course has not ended, the transfer form can be used until the end of the treatment course.
In the case of a follow-up examination as required for treatment, participants in health insurance must have a follow-up appointment card from the healthcare facility according to Form No. 5 Appendix issued with this Decree.
And in Form No. 6 Appendix issued with Decree 146/2018/ND-CP, it is specified as follows:
MANAGING AGENCY (BYT/SYT..) NAME OF HEALTHCARE FACILITY |
SOCIALIST REPUBLIC OF VIETNAMIndependence - Freedom - Happiness--------------- | File No.: ...... In the transfer record No.: ..... |
No: ...../20.../GCT | **** | **** |
HEALTH INSURANCE PATIENT TRANSFER FORM
To: ......................
Healthcare facility: ................................................. respectfully introduces:
- Patient's full name: ........................................ Male/Female: .................. Age: ................
- Address: .............................................................................................................................
- Ethnicity: ................................................................... Nationality: ......................................
- Occupation: ............................................................ Workplace .................................
Card number:
Validity: .....................................................................................................................
Already examined/treated:
+ At: ................(Level ......) From date ......./ ........./ .......... to date ........../ ........./ .........
+ At: .................(Level ......) From date ......./ ......../ ........... to date ........../ ........./ .........
MEDICAL RECORD SUMMARY
- Clinical signs: ............................................................................................................
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- Test results, paraclinical examination:........................................................................
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- Diagnosis:.....................................................................................................................
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- Methods, procedures, techniques, medicines used in treatment:..........................
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- Patient's condition at the time of transfer:...............................................................
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- Reason for transfer: Circle the appropriate transfer reason below:
Eligible for transfer.
At the request of the patient or their legal representative.
- Treatment direction: ...................................................................................................
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- Transfer time: ..... hour ....... minute, date ..... month ...... year 20...................................
- Transport means: .................................................................................................
- Full name, title, professional qualification of the escort: ........................................
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DOCTOR EXAMINER, TREATMENT PROVIDER*(Sign* and clearly state full name) | Date .... month .... year 20...AUTHORIZED PERSON TO TRANSFER(Sign name, stamp) |
In case you are issued a transfer form valid until the end of the calendar year but the treatment course has not ended, the transfer form can be used until the end of the treatment course. If it does not fall under the above case, the transfer form is valid as specified, noted in the transfer document.
Respectfully!









