The BC Pediatric Society Medical Transfer Summary (MTS) is a 2-page form that may be used to transfer patient information when a youth ages out of pediatric care.

The form reflects input from key stakeholders including many physicians throughout BC (over 60 community pediatricians, family physicians and adult specialists). The second page could be filled in by families.

Page 1: Adult Healthcare Team Members; Suggested Topics and Content for the Transfer Letter

Page 2: Patient and family information section including Special Considerations (e.g., benefit status); Abridged Transition Clinical Pathway

Tips for making the Medical Transfer Summary work for you.

“A good reminder of what information should go forward as youth transitions.”

Community Pediatricians

The Summary is available in several formats for you to choose from:

  • EMRs – Accuro, Intrahealth, MedAccess, MOIS, Osler, Oscar, Plexia, Wolf
  • Letter size  (download and print the PDF to manually enter information)
  • Fillable (enter information electronically online and save to your desktop)
  • As a guide to dictation

“Reduces the need for supplementary phone calls or correspondence.”

Patients and Families

Please download and print Page 2 of the Medical Transfer Summary: Patient/Family Information Section.

Once completed, please return to your pediatrician for review. Thank you.

“Second page helpful as a family resources and family physicians appreciate having the information. Can work well if family completes the page then you review it with them.”

IMPORTANT NOTE:
The ability to save content after text information has been completed depends on your software. To be sure information is retained, please save to your hard drive before entering information AND print a copy before re-saving and closing your document.


If you have problems downloading the Medical Transfer Summary please let us know.

“Timeline Tool”: BCPS Resources to Support Transition/Transfer from Pediatric to Adult Care.

Click here for the resource “a timeline for transition to adult care”, a one-page overview demonstrating how the BCPS transition/transfer resources can support community pediatricians prior to and at the time of patient transfer. This resource was developed and pilot tested with community pediatricians and a family physician.