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FOR PATIENT/FAMILY USE ONLY THIS IS NOT A CLINICIAN REFERRAL FORM Physiotherapy self-referral form You can now self-refer to physiotherapy for muscle and joint problems without needing to see your
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Begin by carefully reading the form and ensuring you understand its purpose and instructions.
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Follow the provided sections and fields, filling in the required information accurately and honestly.
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Double-check that you have provided all the necessary details, such as patient and family contact information, medical history, and any other relevant information requested.
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Forms labeled "for patientfamily use only" are typically intended for individuals directly involved in the patient's care, such as immediate family members or caregivers.
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These forms may serve as means to record important details, provide consent, or gather specific information for the patient's treatment or healthcare management.
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It often ensures confidentiality and restricts access to specific individuals involved in the patient's welfare.
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For patientfamily use only is a designation indicating that certain information or items are intended solely for the use of patients and their families.
Healthcare providers, medical facilities, and staff are required to file for patientfamily use only in order to protect patient confidentiality.
To fill out for patientfamily use only, simply mark the information or items with the designated label or indication.
The purpose of for patientfamily use only is to safeguard sensitive information and ensure it is only accessed by authorized individuals.
Any information related to patient treatment, diagnosis, or personal details that is deemed confidential should be reported on for patientfamily use only.
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