Handoff communication is an integral part of health care. Throughout the medical continuum, inadequate handoff communication is recognized as a potential risk to patients. The complexity of transferring patients to higher acuity care puts these patients at higher risk of communication lapses. This tool will assist the care provider in providing key communication elements to assist in safe transfer of these patients. This tool is not intended to replace required transfer documents but to assist the user in addressing important considerations and communication points.