Get the free Breast Health Program Referral

Breast Health Program Referral BC Women's Hospital & Health Center 4500 Oak Street, Vancouver, BC V6H 3N1 Tel: 6048753705 Fax: 6048753080 Please remember to fax all relevant information with this

How to fill out breast health program referral

How to fill out breast health program referral:

1. Obtain the necessary referral form from your healthcare provider or breast health program.
2. Carefully review the form to ensure you understand the required information.
3. Fill in the patient's personal details, including name, contact information, and date of birth.
4. Provide the patient's medical history, including any previous breast health concerns or diagnoses.
5. Indicate the reason for the referral, whether it is for a routine screening mammogram, diagnostic mammogram, or other specific breast health services.
6. Include any additional information or notes that may be relevant for the referral.
7. Make sure the healthcare provider's information is complete, including their name, contact information, and signature.
8. Submit the completed referral form to the designated breast health program or facility as instructed.

Who needs breast health program referral:

1. Women who are due for their routine screening mammogram as recommended by their healthcare provider or national guidelines.
2. Individuals who have noticed changes or abnormalities in their breast tissue and require further investigation through diagnostic mammography or other specialized tests.
3. Patients with a history of breast cancer or other breast health concerns who require ongoing monitoring or specialized care provided by a breast health program.

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What is breast health program referral?

Breast health program referral is a process of referring patients to specialized programs for breast health screenings and services.

Who is required to file breast health program referral?

Healthcare providers and organizations who have patients in need of breast health services are required to file a breast health program referral.

How to fill out breast health program referral?

To fill out a breast health program referral, healthcare providers typically need to provide patient information, reason for referral, and any relevant medical history.

What is the purpose of breast health program referral?

The purpose of breast health program referral is to ensure that patients receive timely and appropriate care for breast health concerns.

What information must be reported on breast health program referral?

Information such as patient demographics, medical history, reason for referral, and referring provider details must be reported on a breast health program referral.