AF Form 230: Request for Patient Transfer (Download PDF)

AF Form 230: Request for Patient Transfer (Download PDF) – AF Form 230, officially titled Request for Patient Transfer, is a key US Air Force medical form used to initiate the transfer of patients between medical treatment facilities (MTFs) or to coordinate specialized care. Active duty service members, their families, and other eligible beneficiaries in the Air Force medical system rely on this form for smooth, documented patient movements.

Whether you’re a military healthcare provider, administrator, or patient advocate at a US Air Force base, understanding how to properly complete and process AF Form 230 ensures timely care and compliance with Department of the Air Force (DAF) regulations.

What Is AF Form 230?

AF Form 230 serves as a formal request to transfer a patient from one medical facility to another. It documents the medical necessity, patient details, and receiving facility information. The form supports both routine interfacility transfers and coordination with broader aeromedical evacuation (AE) processes when longer-distance or air transport is involved.

It appears in official DAF guidance, such as DAFMAN 41-210 (Medical Support), which references AF Form 230 alongside other patient administration forms like AF Form 560 and AF Form 570.

Note: For aeromedical evacuation missions (especially urgent, priority, or routine air transports), the primary authorizing document is typically AF Form 3899 (Aeromedical Evacuation Patient Record), submitted through systems like TRAC2ES. AF Form 230 historically supported patient transfer requests and may still apply in specific ground or initial coordination scenarios. Always verify current procedures with your local Medical Treatment Facility (MTF) or Patient Movement Requirements Center (PMRC).

When Is AF Form 230 Used?

  • Transferring a patient to a higher level of care (e.g., from a small clinic to a larger military hospital or civilian facility under TRICARE).
  • Coordinating specialty consultations not available at the current MTF.
  • Supporting Secretarial Designee requests or Exceptional Family Member Program (EFMP) relocations when medical transport is needed.
  • Documenting non-aeromedical or short-distance ground transfers.

Patient transfers must prioritize continuity of care, with consideration for weather, aircraft availability, crew limitations, and the patient’s physiological stability. Transfers over 100 miles by ground or any air transport often require entry into the formal Patient Movement system.

Who Completes AF Form 230?

  • Referring provider (privileged physician or authorized medical professional) at the originating MTF.
  • Medical administrators or patient movement coordinators may assist with administrative sections.
  • The form requires signatures from the referring provider and, in many cases, approval from the receiving facility or flight surgeon validation for AE-related moves.

The originating MTF is responsible for ensuring all required fields are complete before submission.

How to Download the Official AF Form 230?

The most current and official version is available directly from the Department of the Air Force e-Publishing site:

→ Download AF Form 230 PDF here: https://static.e-publishing.af.mil/production/1/af_sg/form/af230/af230.pdf

This fillable PDF ensures easy completion and printing. Always use the latest version from e-Publishing.af.mil to remain compliant. Third-party sites may offer outdated or unofficial copies.

Key Sections of AF Form 230 and Completion Tips

While exact block-by-block instructions vary slightly by form revision, typical sections include:

  1. Patient Identification — Full name, rank/grade, SSN/DoD ID, date of birth, service branch, and sponsor information (for dependents).
  2. Medical Diagnosis and Reason for Transfer — Clear clinical justification, including diagnosis, current condition, and why the transfer is medically necessary.
  3. Originating Facility — Name and address of the current MTF, attending provider contact.
  4. Requested Receiving Facility — Destination MTF or specialty center, with accepting provider name if known.
  5. Mode of Transportation — Ground ambulance, commercial air, or coordination for aeromedical evacuation.
  6. Urgency/Precedence — Urgent, Priority, or Routine (impacts processing time).
  7. Clinical Summary/Attachments — Space or references for attaching medical records, labs, imaging, or AF Form 3899 when applicable.
  8. Signatures and Approvals — Referring provider signature/date, plus any required endorsements.

Best Practices for Completion:

  • Be thorough and legible — incomplete forms delay care.
  • Include all pertinent clinical history to support the request.
  • Attach supporting documentation (e.g., consultation notes, AF Form 3899 for AE).
  • Consult your local flight surgeon or AE liaison for air transport requests.
  • Ensure HIPAA-compliant transmission of protected health information.

For aeromedical moves, the Patient Movement Request (PMR) process through TRAC2ES often pairs with AF Form 3899, which includes detailed in-flight orders and must be signed by the referring privileged provider.

  • AF Form 3899 — Primary for aeromedical evacuation patient records and in-flight care orders.
  • DAFMAN 41-210 — Governs patient administration, including transfers and dispositions.
  • DAFI 48-107V1 — En Route Care and Aeromedical Evacuation Medical Operations (details PMRC coordination).
  • TRAC2ES — Automated system for generating Patient Movement Requests.

Additional references may appear in guidance for Secretarial Designee programs or EFMP coordination.

Why Proper Use of AF Form 230 Matters?

Accurate completion of AF Form 230 helps:

  • Ensure patients receive timely, appropriate care at the right facility.
  • Maintain accountability in the Air Force medical system.
  • Support seamless integration with the global aeromedical evacuation network.
  • Reduce delays that could impact mission readiness or family well-being.

Military healthcare teams at bases across the United States (and overseas) use these processes daily to support Active Duty, Guard, Reserve, and beneficiary populations.

Need Help with AF Form 230?

Contact your local MTF Patient Administration or Aeromedical Evacuation office for hands-on assistance. For policy questions, refer to official DAF publications on e-Publishing.af.mil.

Official Download Link (Current as of 2026):
AF Form 230 PDF – Request for Patient Transfer

This guide is for informational purposes and draws from official Department of the Air Force sources. Procedures can evolve — always check the latest guidance in DAFMAN 41-210, DAFI 48-107, and with your chain of command or medical leadership for the most current requirements.

Keywords: AF Form 230, Request for Patient Transfer, Air Force medical form, patient transfer Air Force, AF Form 3899, aeromedical evacuation, DAFMAN 41-210, military patient movement.