Get the free LONG TERM CARE REFERRAL FORM TO HPC TEAMS FAX TO 905 -830
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Stomach Regional Cancer Center 596 Davis Drive Newmarket, ON L3Y 2P9 Tel: 9058954521, ext. 6388 Email: Teams Southlakeregional.org Website: www.centralhpcnetwork.ca×HPC×hpcteams.html LONG TERM CARE
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How to fill out long term care referral
How to Fill Out a Long Term Care Referral:
01
Start by gathering all necessary information about the individual who needs long term care. This includes their full name, date of birth, address, and contact information.
02
Contact the individual's primary care physician or healthcare provider to obtain any medical records or documentation relevant to their condition and the need for long term care.
03
Research and select a suitable long term care facility or provider that meets the individual's specific needs and preferences. Consider factors such as location, services offered, staff qualifications, and insurance coverage.
04
Contact the chosen long term care facility or provider and request a referral application form. Some facilities may have an online form that can be filled out electronically, while others may require a paper application.
05
Carefully read and understand all instructions on the referral application form. Make sure to provide accurate and up-to-date information to avoid any delays or complications in the referral process.
06
Complete the referral application form by accurately filling in all required fields. This may include personal information, medical history, current medications, and any specific care needs or preferences.
07
Ensure that all supporting documentation, such as medical records and assessments, are attached or included with the referral application. This is crucial for the long term care facility or provider to make an informed decision regarding the individual's eligibility and suitability for their services.
08
Double-check that all information provided is correct and legible before submitting the referral application. Incomplete or inaccurate forms may result in delays or rejections.
Who Needs a Long Term Care Referral:
01
Individuals who require assistance with daily activities such as dressing, bathing, eating, or mobility due to physical or cognitive impairments.
02
Individuals who have chronic medical conditions or terminal illnesses that require ongoing specialized care and supervision.
03
Older adults who are no longer able to live independently and need 24-hour care and support.
04
Individuals who have recently undergone surgery or experienced a severe illness or injury and require rehabilitation services or extended recovery periods.
05
People who have been diagnosed with progressive conditions such as Alzheimer's, Parkinson's, or multiple sclerosis, which may require long term management and care.
Overall, a long term care referral is essential for anyone who needs or will benefit from the specialized services, support, and accommodations provided by a long term care facility or provider.
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What is long term care referral?
Long term care referral is the process of recommending individuals to receive ongoing care and support for their medical and personal needs.
Who is required to file long term care referral?
Healthcare professionals or social workers are typically required to file long term care referrals on behalf of their patients or clients.
How to fill out long term care referral?
To fill out a long term care referral, the person filing must provide detailed information about the individual in need of care, their medical history, current health status, and any specific care requirements.
What is the purpose of long term care referral?
The purpose of long term care referral is to ensure that individuals who require ongoing care and support receive the appropriate services and assistance.
What information must be reported on long term care referral?
Information such as the individual's name, contact information, medical history, current health status, care requirements, and any supporting documentation may need to be reported on a long term care referral.
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