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DEPARTMENT OF RADIATION ONCOLOGY PEDIATRICS SITE GROUP REFERRAL FORM FOR URGENT REFERRALS CONTACT PHYSICIAN DIRECTLY 610 University Avenue, Toronto, Ontario M5G 2M9 Phone: 416 946 2127 Fax: 416 946
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How to fill out pediatrics site group referral

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How to fill out pediatrics site group referral:

01
Obtain the referral form: Start by obtaining the pediatrics site group referral form from the appropriate source. This could be from the pediatrician's office, hospital, or online platform.
02
Fill out patient details: Provide accurate and complete information about the patient for whom the referral is being made. This may include the patient's full name, date of birth, contact information, and any relevant medical or insurance details.
03
Specify the reason for referral: Indicate the specific reason why the patient requires a referral to the pediatrics site group. This could be for specialized treatment, diagnostic tests, or further evaluation of a specific condition.
04
Include supporting documentation: Attach any necessary supporting documents or medical reports that further justify the need for the referral. These could include previous test results, medical history, or notes from other healthcare providers involved in the patient's care.
05
Provide referring healthcare provider details: Include the contact information and professional details of the healthcare provider making the referral. This typically includes their name, specialty, clinic or hospital name, phone number, and address.
06
Obtain patient consent: Ensure that the patient or their legal guardian has given consent for the referral to be made and that they understand the purpose and implications of the referral.

Who needs pediatrics site group referral:

01
Patients requiring specialized pediatric care: Children who need specialized medical care or treatment that is beyond the scope of general or primary care may require a referral to a pediatrics site group. This could include conditions such as complex congenital disorders, chronic illnesses, or developmental delays.
02
Patients needing diagnostic tests or evaluations: Referrals may be necessary for children who require specific diagnostic tests, specialized procedures, or comprehensive evaluations that can be performed by the pediatrics site group. This could include imaging studies, genetic testing, or multidisciplinary assessments.
03
Patients in need of coordinated care: Children with complex medical needs or multiple healthcare providers may benefit from a pediatrics site group referral. These groups often have a team-based approach, allowing for coordinated care and collaboration among different specialists.
In conclusion, filling out a pediatrics site group referral involves providing accurate patient details, specifying the reason for referral, attaching supporting documents, and including the referring healthcare provider's information. These referrals are typically needed for patients requiring specialized care, diagnostic tests, or coordinated care.
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