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MINOR AILMENTS CONSULTATION/REFERRAL FORM transcribe into Pharmoutcomes as soon as possible Consultation Date Patient Details Name: Patient Consent Address : Patient GP Surgery Telephone No :DOB:
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How to fill out minor ailments consultationreferral form

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How to fill out minor ailments consultationreferral form:

01
Start by filling in your personal information, including your name, address, and contact details.
02
Provide your healthcare identification number or any other relevant identification information.
03
Specify the date of your consultation or referral.
04
Indicate the reason for your visit or the specific ailment you are seeking consultation for.
05
Describe any symptoms you are experiencing in detail, including duration and intensity.
06
Mention any medications you are currently taking or have taken recently for the ailment.
07
Provide a brief medical history, including any pre-existing conditions or allergies.
08
If applicable, include any relevant test results or medical reports related to your ailment.
09
Sign and date the form to confirm your consent and understanding.

Who needs minor ailments consultationreferral form:

01
Individuals seeking consultation for minor ailments, such as colds, flu, allergies, or minor injuries.
02
Patients who require referral to a specialist for further evaluation or treatment of a specific ailment.
03
Anyone who wishes to document and present their medical history or symptoms to a healthcare professional for assessment and assistance.
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The minor ailments consultation referral form is a document used by healthcare providers to record and refer patients who present with minor health issues that do not require extensive medical intervention.
Healthcare providers, such as doctors and nurse practitioners, are required to file the minor ailments consultation referral form when a patient needs to be referred for diagnosis or treatment of a minor ailment.
To fill out the minor ailments consultation referral form, providers should include patient identification details, a description of the minor ailment, suggested treatment or management options, and any pertinent medical history.
The purpose of the minor ailments consultation referral form is to facilitate better communication between healthcare providers and ensure that patients receive appropriate and timely care for minor health issues.
Information that must be reported on the minor ailments consultation referral form includes the patient's personal information, details of the minor ailment, recommended treatment plans, and relevant medical history.
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