Get the free NUH Direct Access Referral Form

This form is used for referring patients by GP partners to the National University Hospital (NUH) for direct access to specialist outpatient clinics and admission.

How to fill out nuh direct access referral

How to fill out NUH Direct Access Referral Form

1. Obtain the NUH Direct Access Referral Form from the official NUH website or your healthcare provider.
2. Fill out the patient's personal information including full name, date of birth, and contact details.
3. Provide the referring clinician's details, including name, title, and contact information.
4. Specify the reason for the referral and any relevant medical history.
5. Indicate the requested services or investigations needed for the patient.
6. Sign and date the form to confirm the information provided is accurate.
7. Submit the completed form through the prescribed method, either electronically or via postal service.

Who needs NUH Direct Access Referral Form?

1. Patients seeking specialized medical care at NUH.
2. Primary care physicians needing to refer patients for specific services.
3. Healthcare providers who want to streamline the referral process for diagnostic tests or consultations.

For pdfFiller’s FAQs

What is NUH Direct Access Referral Form?

The NUH Direct Access Referral Form is a document used by healthcare providers to refer patients directly to specialists within the National University Hospital for further evaluation and treatment.

Who is required to file NUH Direct Access Referral Form?

Healthcare professionals, such as general practitioners and primary care physicians, are required to file the NUH Direct Access Referral Form when referring patients to specialist services at NUH.

How to fill out NUH Direct Access Referral Form?

To fill out the NUH Direct Access Referral Form, the referrer must provide patient details, clinical information, reasons for referral, and any relevant medical history, ensuring all required fields are completed accurately.

What is the purpose of NUH Direct Access Referral Form?

The purpose of the NUH Direct Access Referral Form is to streamline the referral process, ensure accurate patient information is shared, and facilitate timely access to specialist care.

What information must be reported on NUH Direct Access Referral Form?

The NUH Direct Access Referral Form must report patient demographics, referring physician details, clinical findings, reason for referral, and any pertinent medical history or prior treatments.