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REFERRAL FORM North and West Remote Health Phone: 07 47447600 Fax: 07 4743 4858 North West Hub Office: 53 Enid St, Mount ISA PO Box 1127, Mount ISA 4825 REFERRAL DATE: Discipline Mental Health Professional
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How to fill out a referral form - NWRH:

01
Start by entering your personal information, including your full name, contact details, and any relevant identification numbers.
02
Next, provide the name and contact information of the healthcare professional or organization referring you to NWRH.
03
Specify the reason for the referral and any pertinent medical history or current condition that may be important for the healthcare team to know.
04
Indicate any specific preferences or requirements you may have regarding the referral process or the type of care you are seeking.
05
Make sure to review and double-check all the information you have entered to ensure accuracy and completeness.

Who needs a referral form - NWRH:

01
Individuals who have been recommended to seek specialized medical care or consultation by their healthcare provider.
02
Patients who require access to services and resources offered by NWRH, such as specific medical treatments, expert opinions, or specialized facilities.
03
Referring healthcare professionals or organizations who want to ensure smooth and coordinated care for their patients by collaborating with NWRH.
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Referral form - nwrh is a document used to refer a patient to North West Regional Hospital (NWRH) for medical treatment or services.
Referral form - nwrh must be filed by healthcare providers, doctors, or medical professionals who are referring patients to NWRH.
To fill out referral form - nwrh, healthcare providers must include patient information, reason for referral, medical history, and any other relevant details.
The purpose of referral form - nwrh is to facilitate the transfer of patients to NWRH for specialized medical care or services.
Referral form - nwrh must include patient's name, contact information, medical history, reason for referral, referring healthcare provider, and any other relevant details.
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