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COPD Services Zachary Merton Hospital Rusting ton BN16 2EA Tel no: 01903 858030 Fax no: 01903 858037 REFERRAL FORM AND CRITERIA FOR PULMONARY REHABILITATION Patient details Surname:. Forename: Address:.
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How to fill out PR referral form karthikdoc:

01
Start by obtaining the PR referral form karthikdoc from the relevant authority or department.
02
Fill in your personal details accurately, including your full name, contact information, and any other required information such as your address or identification number.
03
Provide information about the reason for the referral, clearly stating the purpose or objective of the referral.
04
Include any supporting documentation or evidence that may be necessary for the referral, such as medical reports, legal documents, or relevant certificates.
05
Ensure that you provide all the required information and complete all the sections of the referral form accurately and thoroughly.
06
Double-check the filled form for any errors or missing information before submitting it.
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Keep a copy of the filled referral form for your records.

Who needs PR referral form karthikdoc:

01
Individuals who require a referral for a specific purpose or service, such as medical treatment, legal consultation, or specialized assistance.
02
Professionals, such as doctors, lawyers, or social workers, who need to refer their clients or patients to other professionals or services for further assistance.
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Organizations or institutions that handle referrals for their members or constituents, such as healthcare facilities, educational institutions, or social service agencies.
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PR referral form karthikdoc is a form used to refer a patient to a physiatrist, named Karthikdoc, for consultation or treatment.
Any healthcare provider or physician who wants to refer a patient to Karthikdoc for physiatry services must file the PR referral form.
The form can be filled out by providing the patient's information, reason for referral, medical history, and contact details of the referring physician.
The purpose of the form is to facilitate the referral process and ensure that all necessary information is provided to Karthikdoc for better patient care.
The form should include the patient's name, age, medical history, reason for referral, referring physician's contact details, and any relevant diagnostic reports.
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