Get the free Recreation Therapy Referral - IWK Health Centre

Recreation Therapy Referral Demographic Information: Full Name: Unit #: Next of Kin: DOB: Primary Contact to arrange appointments: Relationship to patient: Consent obtained from NOK: Address: Phone:

How to fill out recreation formrapy referral

To fill out a recreation therapy referral form, follow these steps:

1. Obtain the referral form: The first step is to obtain the recreation therapy referral form from the appropriate source. This may be a healthcare provider, a rehabilitation center, or a social services agency.
2. Provide personal information: Start by filling out the personal information section of the form. This typically includes your full name, address, contact information, date of birth, and insurance details.
3. Describe the reason for referral: In the next section, provide a detailed description of why you are seeking recreation therapy. This may include any physical, emotional, or cognitive challenges you are facing that can benefit from therapeutic recreation activities.
4. Specify preferred activities: Indicate any specific recreational activities or interests that you would like to engage in during therapy. This can help the therapist tailor the program to your preferences and goals.
5. Include relevant medical history: Provide any pertinent medical history, including diagnoses, medications, and previous treatments or therapies. This information helps the therapist understand your health condition and plan suitable interventions.
6. Attach supporting documents: If there are any supporting documents that are relevant to your referral, such as medical reports or assessments, make sure to attach them securely to the form.
7. Submit the form: Once you have completed the form, double-check all the information for accuracy and make any necessary corrections. Then, submit the referral form to the designated recipient, such as the healthcare provider or therapy center.

Who needs recreation therapy referral?

Anyone who is facing physical, emotional, or cognitive challenges that can benefit from therapeutic recreation may need a recreation therapy referral. This can include individuals recovering from injuries or surgeries, people with disabilities, individuals managing chronic illnesses, or those dealing with mental health issues. It is best to consult with a healthcare professional or a therapist to determine if recreation therapy is suitable for your specific needs. They can guide you on whether you need a referral and help you navigate the process.

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What is recreation formrapy referral?

Recreation formrapy referral is a form used to refer individuals to recreational therapy programs or services.

Who is required to file recreation formrapy referral?

Healthcare providers, counselors, or social workers may be required to file recreation formrapy referral.

How to fill out recreation formrapy referral?

Recreation formrapy referral can be filled out by providing the patient's information, reason for referral, and any relevant medical history.

What is the purpose of recreation formrapy referral?

The purpose of recreation formrapy referral is to help individuals participate in recreational activities for therapeutic purposes.

What information must be reported on recreation formrapy referral?

Information such as patient's name, contact details, medical history, reason for referral, and desired outcomes must be reported on recreation formrapy referral.