This customizable document, Motor Vehicle Accident Report Form, is taken from MCN Healthcare's Security Management Policy and Procedure Manual. For more than 20 years, MCN has been the health care industry's leading provider of policy and procedure templates, forms, competencies and other compliance tools.

MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN's policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors.

Here is some sample content from Motor Vehicle Accident Report Form:

	MOTOR VEHICLE ACCIDENT REPORT FORM Security Case # Assigned: Was Hospital Vehicle Involved? Outside Police Agency Investigating? Name of Agency: Were Citations Issued? Date/Time of Accident: Location: Person Reporting Accident: Were Pictures Taken? Conditions: Road: Visibility: #1 Vehicle Information: Registered Owner of Vehicle: Name: Address: Insurance Company: Vehicle Description: Year: State and License #: Driver Name: Home Address: Business Address: Daytime Phone: Was Driver Injured? Taken to Medical Facility or ED? Passengers: If yes, were passengers taken to medical...
Second excerpt:
	...or ED? Name of Facility: #2 Vehicle Information: Registered Owner of Vehicle: Name: Address: Insurance Company: Vehicle Description: Year: State and License #: Driver Name: Home Address: Business Address: Daytime Phone: Was Driver Injured? Taken to Medical Facility or ED? Passengers: If yes, were passengers taken to medical facility or ED? Name of Facility: Investigating Security Officers: Name: Name: Security Officer's Narrative Description of Accident: Security...