When patients are admitted from the clinic, who completes the circled items of AF Form 560?

• A. NCOIC, Admissions and Dispositions Office
• B. Admissions technician
• C. Attending physician
• D. Head nurse

Answer: (C)

When a patient is admitted from the clinic, the clinician in charge of the inpatient care is responsible for filling out the physician-specific parts of the admission form. Those circled items capture the medical evaluation, admitting diagnosis, rationale for admission, source of admission, and the initial treatment plan. This information requires clinical judgment and an official medical plan, so it falls to the attending physician who will oversee the patient’s care during the admission. Other staff—such as an admissions technician or the head nurse—handle administrative data or nursing assessments, but they don’t determine or authorize the medical details that the circled items require.