IE Bon Secours Hospital Rapid Access Prostate Clinic Referral Form 2013-2025 free printable template
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RapidAccessProtateRef Rev01 oncology day case nursing ASSE 12×02/2014 14:39-Page 1 RAPID ACCESS PROSTATE CLINIC ON SCOURS HOSPITAL CORK ON SCOURS HOSPITAL College Road, Cork. Timely and direct access
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How to fill out IE Bon Secours Hospital Rapid Access Prostate
01
Obtain the IE Bon Secours Hospital Rapid Access Prostate form from the hospital or their website.
02
Fill in your personal information at the top of the form including your name, date of birth, and contact details.
03
Select the reason for your visit from the provided options or write it in if it's not listed.
04
Indicate any relevant medical history by checking the appropriate boxes or providing details if necessary.
05
Provide the names and dosages of any medications you are currently taking.
06
Sign and date the form to confirm that the information provided is accurate.
07
Submit the completed form to the appropriate department at Bon Secours Hospital, either in person or as instructed.
Who needs IE Bon Secours Hospital Rapid Access Prostate?
01
Individuals experiencing symptoms that may indicate prostate problems, such as difficulty urinating or pelvic pain.
02
Men aged 50 and older who may require screening for prostate health.
03
Individuals with a family history of prostate cancer who are advised to undergo screening.
04
Patients who have been referred by their general practitioner for further evaluation regarding prostate health.
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What is IE Bon Secours Hospital Rapid Access Prostate?
IE Bon Secours Hospital Rapid Access Prostate is a medical program aimed at providing quick and efficient access to prostate health assessments and treatments for patients.
Who is required to file IE Bon Secours Hospital Rapid Access Prostate?
Patients who are seeking prostate health evaluations or treatments at IE Bon Secours Hospital need to file for the Rapid Access Prostate program.
How to fill out IE Bon Secours Hospital Rapid Access Prostate?
To fill out the IE Bon Secours Hospital Rapid Access Prostate, patients should complete the designated intake form provided by the hospital, which may include personal information and medical history.
What is the purpose of IE Bon Secours Hospital Rapid Access Prostate?
The purpose of the IE Bon Secours Hospital Rapid Access Prostate program is to facilitate timely diagnosis and treatment of prostate-related health issues for patients.
What information must be reported on IE Bon Secours Hospital Rapid Access Prostate?
The information that must be reported includes patient identification details, medical history, any symptoms, and previous prostate health assessments.
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