Patients' Trust Fund.
Paragraphs 5-1 through 5-11.
* 081-866-0022, Complete DA Form 3696 (Patient's
* 081-866-0123, Forward Funds and Valuables after
the Disposition or Transfer of a Patient.
* 081-866-0124, Make Disposition of the Funds and
Valuables of a Mentally Incompetent Patient.
After competing this lesson, you should be able to:
5-1 Identify the purpose of the Patients' Trust Fund.
5-2 Identify the levels of responsibility for the Patients'
5-3 Given a situation, list procedures for forwarding
Funds and valuables left on deposit in the Patients'
5-4 Identify who may be designated as custodian of
the Patients' Trust Fund.
5-5 Given a situation, list operating principles
governing a Patients' Trust Fund.
5-6 Given a list of items, identify those that may be
deposited in the Patients' Trust Fund as funds, those
that may be deposited as valuables, and those not
acceptable for deposit.
5-7 Given a situation and a transaction, identify the
information for DA Form 3696.
5-8 Given a situation and a transaction, identify the
information for DA Form 3983.
After studying this assignment, complete the exercises
of the lesson. These exercises will help you achieve
the lesson objective.