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We are one of the largest community diabetes education programs in the ... Chiropody/Foot Care Services (referral by healthcare providers) ... If you wish to be referred to a diabetes education program

How to fill out chiropody referral form

How to fill out chiropody referral form

1. Gather all necessary information about the patient, including their name, contact information, and medical history.
2. Obtain the specific details of the patient's condition that requires chiropody treatment.
3. Consult the chiropody referral form provided by the relevant healthcare institution or organization.
4. Fill out the patient's personal information accurately in the designated fields of the form.
5. Clearly indicate the reason for the referral and provide a detailed description of the patient's condition or symptoms.
6. Include any relevant medical records or test results that support the need for chiropody treatment.
7. Ensure that the form is signed and dated by the referring healthcare professional.
8. Submit the completed chiropody referral form to the appropriate department or healthcare provider.

Who needs chiropody referral form?

1. Individuals with foot or lower limb problems that require specialized treatment from a chiropodist or podiatrist.
2. Patients who have been diagnosed with conditions such as foot pain, fungal infections, ingrown toenails, corns, calluses, or diabetic foot complications.
3. People who have experienced foot injuries, deformities, or abnormalities that affect their mobility or overall foot health.
4. Individuals who have been referred by their primary care physician, orthopedic surgeon, or other healthcare professionals for further assessment and treatment by a chiropodist.

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