a. No request to the GPMRC is necessary when referring patients to another
medical treatment facility on an outpatient basis. Data may be obtained from the ASMRO
concerning specialty capabilities.
b. Patients may be transferred between medical treatment facilities in accordance
with local agreements which have been reviewed by the tri-service regional review
committees or affected regions and approved by the Surgeons General. An after-the-fact
report of each patient so transferred will be submitted to the GPMRC by message or
telephone within 48 hours.
c. A patient who is a bonafide emergency case (see para 3-14d for URGENT or
PRIORITY) may be transferred without prior approval from the GPMRC if the transferring
facility first determines that the receiving facility has the capability to provide the required
medical care. An after-the-fact report to the GPMRC is required within 48 hours.
d. Requests and reports to the GPMRC are not necessary when members of the
Army, Air Force, Navy, and Marine Corps are hospitalized in civilian facilities with
CONUS and are moved to medical treatment facilities which have administrative
responsibility. If a patient is to be moved to a facility which does not have administrative
responsibility, a request is made to the GPMRC.
e. Hospital to hospital referral may be required for special handling of some
patients. Such referrals are reported to the GPMRC following coordination, but prior to
actual transfer of the patient.
f. Patients with severe burns may be transferred to the U.S. Army Institute of
Surgical Research (USAISR), Brooke Army Medical Center, Fort Sam Houston, Texas.
Direct communication is authorized with the USAISR to determine if a bed is available and
if the individual is an appropriate patient for transfer and is sufficiently stable for movement.
The USAISR will be notified by telephone or message within 24 hours after the admission
to an Army medical treatment facility of a patient with severe burns. A special burn team
may be dispatched to the medical treatment facility to aid in
early treatment and to advise on transportability. An after-the-fact report of transfer to the
USAISR is made by the transferring facility to the GPMRC within 48 hours.
g. A patient may be returned to the originating medical treatment facility in the
CONUS for continuation of treatment and/or disposition without further reference to the
GPMRC if the authority for return is included in the patient's orders. The original GPMRC
control number is cited.
h. If a patient is to be transferred from the CONUS to an overseas area, a request,
including information as to the necessity for such transfer, is submitted to the Surgeon
General of the uniformed service concerned for approval.