number: CLI.6410.PL.013.FORM.01

rationale: Updated to reflect the change to the PCH now contacting Virtual Emergency Care & Transfer Resource Service (VECTRS) instead of Medical Transportation Coordinator Centre (MTCC) when setting up an Inter Facility transfer. Additionally a spot has been added at the bottom of the form to track that the form has been forwarded to payroll and then on to finance for billing resident’s trust account.