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Get the free LYMPHOEDEMA Referral Form March 06 updatexls - gp westernsussexhospitals nhs

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Referral to Lymphedema Service Chapel Street Clinic Chapel Street Colchester PO19 1BX Tel: 01243 623300 Fax: 01243 623308 MOBILITY: UNAIDED PLEASE TICK IF ANY OF ...
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How to fill out lymphoedema referral form march

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How to fill out lymphoedema referral form march:

01
Start by carefully reading the instructions provided on the form. Make sure you understand the purpose and requirements of the form.
02
Begin with your personal information section. Fill in your full name, contact details, date of birth, and any other relevant information requested.
03
Move on to the medical history section. Provide details of any previous diagnoses, treatments, or surgeries related to lymphoedema. Include dates and names of healthcare professionals involved, if known.
04
Next, provide a summary of your current symptoms and any specific concerns or limitations you are experiencing due to lymphoedema. Be as detailed and specific as possible.
05
If applicable, indicate any medications or therapies you are currently using for lymphoedema management. Include the dosage, frequency, and duration of each treatment.
06
Include any relevant test results or medical reports that support your lymphoedema diagnosis. This may include ultrasound or MRI reports, biopsy results, or other diagnostic tests.
07
If you have been referred by a healthcare professional, provide their name, contact information, and their specialty or medical practice.
08
Review the completed form to ensure all sections are accurately filled out. Make any necessary corrections or additions before submitting.
09
Keep a copy of the completed form for your records.

Who needs lymphoedema referral form march:

01
Patients who have been diagnosed with lymphoedema and are seeking specialized treatment or management.
02
Individuals who have been recommended by their primary care physician or another healthcare professional to consult with a lymphoedema specialist.
03
Patients who require additional diagnostic tests, treatments, or therapies related to lymphoedema and need a referral to access these services.
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The lymphoedema referral form march is a medical document used to refer patients with lymphoedema to specialists for further evaluation and treatment.
Healthcare professionals such as doctors, nurses, and therapists are required to file the lymphoedema referral form march when they identify a patient with lymphoedema.
The lymphoedema referral form march should be filled out with the patient's personal and medical information, details about the onset of lymphoedema, any previous treatments received, and the reason for referral.
The purpose of the lymphoedema referral form march is to ensure that patients with lymphoedema receive appropriate care and management from specialists.
Information such as the patient's name, contact information, medical history, current symptoms, and any previous treatments attempted should be reported on the lymphoedema referral form march.
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