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Mississauga Halton Diabetes Services Referral Form PHONE # 18552236847 FAX # 9053380442 (Toll Free fax:18553380442) For Additional Copies Visit www.mhcentralintake.com Patient Information Adult Pediatrics
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The diabetes services referral form is a document used to refer patients with diabetes to specialized medical services for further treatment or management.
Healthcare professionals such as doctors, nurses, or medical practitioners are required to file the diabetes services referral form.
The diabetes services referral form must be filled out by providing the patient's information, medical history, diagnosis, and the reason for referral.
The purpose of the diabetes services referral form is to ensure that patients with diabetes receive specialized medical care and services to effectively manage their condition.
The diabetes services referral form must include the patient's personal information, medical history, current symptoms, diagnosis, and the referring healthcare provider's contact information.
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