Edit, Download, and Sign the Medical Priority Boarding Form Instructions

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How do I fill this out?

To fill out this form, the patient or their representative must complete the Patient Information section. Then, submit it to a physician for filling out the remaining information. Finally, the completed form should be scanned and emailed to the appropriate email address for processing.

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How to fill out the Medical Priority Boarding Form Instructions?

  1. 1

    Fill out the Patient Information section.

  2. 2

    Have your physician complete the remaining details and sign the form.

  3. 3

    Email the completed form to PCFERRY@piercecountywa.gov.

  4. 4

    Make sure to submit at least 2 weeks before your travel date.

  5. 5

    Print and bring the County-approved form with you.

Who needs the Medical Priority Boarding Form Instructions?

  1. 1

    Patients with scheduled medical procedures needing transport.

  2. 2

    Individuals requiring urgent medical attention after discharge.

  3. 3

    Family members accompanying patients needing emergency travel.

  4. 4

    Healthcare providers coordinating patient transport.

  5. 5

    Representatives organizing travel logistics for patients.

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What are the instructions for submitting this form?

Patients or their representatives must submit the completed Medical Priority Boarding Form to the physician for necessary approval. The physician should then email the finalized document to PCFERRY@piercecountywa.gov at least 2 weeks before the intended travel date. It is advisable to print a copy of the approved form and keep it handy during the ferry journey for presentation at boarding.

What are the important dates for this form in 2024 and 2025?

In 2024 and 2025, ensure to submit your ongoing medical priority boarding requests well in advance, at least 2 weeks before any scheduled travel dates. Important high-traffic periods might include holiday seasons and summer months, where ferry services could be fully booked. Keeping these timelines in mind will help guarantee your necessary travel accommodation.

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What is the purpose of this form?

The primary purpose of the Medical Priority Boarding Form is to provide individuals with a mechanism for alleviating delays during ferry boarding due to urgent medical needs. This form ensures that patients who face health risks due to long wait times can receive priority boarding on Pierce County Ferries. By facilitating these processes, the form aims to improve the overall experience for patients in need of urgent travel.

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Tell me about this form and its components and fields line-by-line.

The Medical Priority Boarding Form consists of several key sections that collect necessary information regarding the patient and their travel requirements.
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  • 1. Patient Information: Includes the patient's name, contact information, and vehicle details.
  • 2. Physician Details: Requires the physician's information, signature, and date of assessment.
  • 3. Travel Dates: Specifies the dates for which priority boarding is requested.
  • 4. Approval Section: An area for Ferry Administration to confirm approval.

What happens if I fail to submit this form?

Failing to submit the Medical Priority Boarding Form on time may result in denied boarding for patients during high-demand periods. It is crucial to adhere to the submission guidelines to secure necessary accommodations. Non-compliance can lead to unnecessary stress and complications during travel.

  • Delays in Transport: Without proper submission, patients may face extended wait times, impacting their health needs.
  • Lack of Priority Boarding: Failure to submit could result in lost priority access, necessitating wait until the ferry has space.
  • Emergency Situations: In urgent cases, not having priority boarding can complicate the patient's ability to get immediate care.

How do I know when to use this form?

This form is to be used when patients require travel via ferry due to medical needs that necessitate immediate access. It is specifically for situations where delays could have detrimental effects on a patient’s health. Use this form to secure priority boarding for medical appointments or emergencies.
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  • 1. Medical Appointments: For patients who have scheduled appointments that require timely ferry access.
  • 2. Discharges from Medical Facilities: For patients being discharged who need to get home urgently.
  • 3. Emergency Travel: In situations which pose health risks if delayed during transport.
  • 4. Follow-up Appointments: For patients needing to attend follow-up medical consultations.
  • 5. Transport for Caregivers: Use this form for caregivers accompanying patients needing immediate medical attention.

Frequently Asked Questions

What is the medical priority boarding form?

It is a form that allows eligible individuals to request priority boarding on the Pierce County Ferry due to medical needs.

How do I submit the form?

You should email the completed form to PCFERRY@piercecountywa.gov at least 2 weeks before your travel date.

What details must my physician provide?

The physician must fill in the medical need and sign the form indicating approval for priority boarding.

Can I use the form for medical appointments?

No, the priority boarding is specifically for situations where a delay could cause health risks.

What if my physician can’t determine discharge dates?

The physician should provide an estimated range of dates based on your surgery or hospitalization.

How soon will I know if I'm approved?

You will receive an email confirming your approval for priority boarding.

Do I need to print anything?

Yes, you should bring the County-approved form printed out to the ferry.

When should I arrive at the ferry?

You must arrive at least 20 minutes prior to your scheduled sailing time.

Is there an alternative for emergencies?

If you have an emergency, it is advised to call 911 for immediate assistance.

Is this service available for all ferry routes?

No, it is specifically for Pierce County ferries servicing Steilacoom, Anderson, and Ketron Islands.

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