Get the free Inflammatory Bowel Disase Referral Intake Form - swedish.org

Fax this form along with the following documents to Swedish IBD Center 206-215 -3525 ... Inflammatory Bowel Disease. Referral Intake Form ... swedish.org/IBD.

How to fill out inflammatory bowel disase referral

How to fill out inflammatory bowel disase referral

1. Step 1: Obtain the necessary referral form from your healthcare provider.
2. Step 2: Fill out your personal information, including your name, date of birth, address, and contact details.
3. Step 3: Provide your medical history, including any previous diagnoses, treatments, and medications related to inflammatory bowel disease (IBD).
4. Step 4: Include information about your current symptoms, such as frequency and type of bowel movements, abdominal pain, and any other relevant details.
5. Step 5: Mention any relevant laboratory or imaging test results you may have, such as blood tests, stool tests, or colonoscopy reports.
6. Step 6: If you have seen any specialist or received prior treatment for IBD, provide their contact information and referral details.
7. Step 7: Attach any supporting documents related to your condition, such as previous medical reports or imaging scans.
8. Step 8: Double-check all the information provided to ensure accuracy and completeness.
9. Step 9: Submit the filled-out referral form to your healthcare provider or the designated recipient.

Who needs inflammatory bowel disase referral?

1. Individuals who are experiencing symptoms suggestive of inflammatory bowel disease (IBD) may need an IBD referral.
2. Patients who have been diagnosed with IBD in the past and require further evaluation, treatment, or specialized care may also need an IBD referral.
3. People who have risk factors or a family history of IBD may be recommended to undergo diagnostic testing or consult with a specialist.
4. Healthcare providers may refer patients with suspected or confirmed IBD for additional investigations, monitoring, or involvement of a multi-disciplinary team.
5. It is ultimately up to the healthcare provider to determine who needs an inflammatory bowel disease referral based on each individual's unique situation and medical history.

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What is inflammatory bowel disease referral?

Inflammatory bowel disease referral is a process of transferring a patient to a specialist for further evaluation and treatment of inflammatory bowel disease.

Who is required to file inflammatory bowel disease referral?

Healthcare providers, primary care physicians, or specialists may be required to file inflammatory bowel disease referrals for their patients.

How to fill out inflammatory bowel disease referral?

To fill out an inflammatory bowel disease referral, healthcare providers must include patient information, reason for referral, relevant medical history, and any other pertinent details.

What is the purpose of inflammatory bowel disease referral?

The purpose of inflammatory bowel disease referral is to ensure that patients receive specialized care and treatment for their condition from a healthcare provider with expertise in treating inflammatory bowel disease.

What information must be reported on inflammatory bowel disease referral?

Information such as patient demographics, medical history, reason for referral, and any relevant test results must be reported on an inflammatory bowel disease referral.