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COMMUNITY DERMATOLOGY REFERRAL FORM LINCOLNSHIRE EAST CCG For emergency cases refer via 2 weeks wait pathway Please refer via Referral Service attaching this form PATIENT PRACTICE NHS Number: Practice

How to fill out community dermatology referral form

How to fill out a community dermatology referral form:

1. First, gather all the necessary information, such as the patient's full name, contact information, and date of birth. This information is crucial for identification purposes.
2. Next, provide details about the referring healthcare provider or physician, including their name, address, telephone number, and specialty. This information helps establish a connection between the referring healthcare provider and the dermatologist.
3. Indicate the reason for the referral. In this case, specify that it is for dermatological reasons, such as concerns related to skin conditions, rashes, or other dermatological issues. Provide a brief description of the specific concern or condition.
4. Include any relevant medical history, such as past dermatological treatments, allergies, or medications that the patient is currently taking. This information assists the dermatologist in understanding the patient's overall health status and aids in making appropriate treatment decisions.
5. If the referral is urgent or requires prompt attention, make sure to mention this on the form. Urgent referrals may be given priority scheduling to ensure timely care.
6. Provide any additional information that may be pertinent to the referral, such as recent test results, biopsy reports, or photographs. These documents help the dermatologist in assessing the situation accurately and determining the most suitable treatment plan.

Who needs a community dermatology referral form?

1. Individuals who have skin concerns or conditions that require the specialized expertise of a dermatologist may need a community dermatology referral form.
2. Patients who have tried over-the-counter treatments for their dermatological issues but have not achieved desired results may seek a community dermatology referral.
3. Individuals who have a significant family history of skin diseases or skin cancers may benefit from seeing a dermatologist for preventive screenings.

Remember, it's always best to consult with a healthcare professional when determining if a community dermatology referral form is needed in specific circumstances.

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What is community dermatology referral form?

The community dermatology referral form is a document used to refer a patient to a dermatologist for evaluation and treatment.

Who is required to file community dermatology referral form?

Any healthcare provider who needs to refer a patient to a dermatologist for skin-related issues is required to file the community dermatology referral form.

How to fill out community dermatology referral form?

To fill out the community dermatology referral form, the healthcare provider needs to provide patient's demographics, medical history, reason for referral, and any relevant test results.

What is the purpose of community dermatology referral form?

The purpose of the community dermatology referral form is to ensure effective communication between healthcare providers and dermatologists for the management of skin conditions.

What information must be reported on community dermatology referral form?

The community dermatology referral form must include patient's personal information, medical history, reason for referral, any relevant test results, and the referring healthcare provider's contact information.