Neonatology Records Transfer Form

Streamline Neonatal Medical Records Transfer with Paperform

When high-risk infants transition from NICU care to ongoing pediatric follow-up, coordinating medical records between providers is critical for continuity of care. This Neonatology Records Transfer Form template helps healthcare facilities, pediatric practices, and early intervention programs request and transfer detailed neonatal medical records efficiently.

Built for Neonatal Care Coordination

This template captures everything needed for comprehensive NICU records transfer: birth details, gestational history, NICU stay information, respiratory support details, feeding progression, developmental assessments, and early intervention referrals. Whether you're a neonatologist coordinating discharge planning, a pediatrician requesting records for a new high-risk patient, or an early intervention coordinator gathering developmental history, this form ensures nothing falls through the cracks.

Paperform's conditional logic shows relevant follow-up questions based on complications and interventions, while calculations can help track corrected gestational age and developmental timelines. The professional layout makes it easy for parents and healthcare providers to complete authorization forms that meet HIPAA requirements.

Automate Your Healthcare Workflows

Connect this form to your practice management system or EHR using Paperform's native integrations or Stepper to automatically route records requests to the appropriate department, create tasks for medical records staff, and send confirmation notifications to requesting providers. With Paperform's secure file upload capabilities, supporting documentation can be attached directly to the request.

For organizations needing digital consent, pair this form with Papersign to collect legally binding eSignatures on authorization forms, keeping everything linked to the original records request for a complete audit trail.

Trusted by healthcare organizations worldwide and SOC2 Type II compliant, Paperform provides the security and reliability healthcare providers need for sensitive patient information transfer.