Get the free Community Urology Service Referral Form Barnet GPs only

Community Urology Service Referral Form (Barnes GP's only) This is for all adults aged 18+ with active urology symptoms who need support, investigation and advice. Please send completed Referral Form

How to fill out community urology service referral

How to fill out a community urology service referral:

1. Start by gathering all necessary information about the patient, including their full name, date of birth, contact information, and medical history.
2. Next, identify the reason for the referral and provide a detailed description of the patient's urological condition or symptoms. Include any relevant test results or diagnoses.
3. Indicate the urgency of the referral, whether it is routine, urgent, or emergent, based on the patient's condition.
4. Include the referring physician's contact information, including their name, address, phone number, and fax number.
5. Provide details about the patient's primary care physician, including their name and contact information.
6. If applicable, mention any insurance information or pre-authorization requirements that may need to be considered.
7. It is essential to document any medications the patient is currently taking, including the dosage and frequency.
8. Include any additional information or special considerations relevant to the referral, such as language preferences, disabilities, or specific patient needs.
9. Ensure that all sections of the referral form are filled out accurately and legibly to avoid any delays or misunderstandings.
10. Finally, sign and date the referral form before submitting it to the urology service. Retain a copy of the referral for your records.

Who needs a community urology service referral?

1. Patients experiencing urological symptoms, such as urinary tract infections, kidney stones, bladder or kidney disorders, prostate issues, or urinary incontinence.
2. Individuals with abnormal results from urologic screenings or diagnostic tests, such as ultrasound or cystoscopy.
3. Patients with suspected urological conditions who require further evaluation, specialized treatment, or surgical intervention.
4. Individuals with chronic or complex urological conditions that require ongoing management and monitoring by a urologist.
5. Patients referred by their primary care physician or other healthcare providers for urology-related consultations, second opinions, or collaborative care.
6. Individuals who have a family history or increased risk factors for urological diseases, such as prostate or bladder cancer, and require specialized urological services.
7. Patients who have been referred to a community urology service as part of their overall healthcare plan or for continuity of care.

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