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Bury Hospice Rockdale Old Road, Bury, BL9 7RG Tel No: 0161 725 9800 Fax No: 0161 723 0662 REFERRAL FORM Please ensure that you complete the form clearly and in full as this helps us to prioritize
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How to fill out referral-form - bury hospice

01
To fill out the referral-form for bury hospice, follow the steps below:
02
Start by gathering all necessary information about the patient, including their name, contact details, and medical history.
03
Obtain the patient's consent to fill out the referral-form on their behalf.
04
Contact the bury hospice and request a copy of their referral-form.
05
Obtain any additional documentation required by the bury hospice, such as medical reports or previous test results.
06
Fill out the referral-form accurately and provide all necessary information about the patient's condition and medical needs.
07
Double-check the referral-form for any errors or missing information before submitting it.
08
Submit the completed referral-form to the bury hospice through the preferred method, whether it is by mail, fax, or email.
09
Wait for confirmation from the bury hospice that they have received the referral-form and are processing it.
10
Keep a copy of the referral-form for your records, as well as any supporting documentation.
11
Follow up with the bury hospice if you haven't received any response within a reasonable timeframe.

Who needs referral-form - bury hospice?

01
The referral-form for bury hospice is typically needed by individuals or entities involved in the process of referring a patient to the bury hospice. This may include:
02
- Healthcare professionals, such as doctors, nurses, or social workers, who are responsible for the patient's care and want to facilitate their admission to a hospice program.
03
- Family members or caregivers who believe that the patient would benefit from the specialized care and support provided by a hospice.
04
- Hospitals or medical facilities that have determined that the patient's condition requires the services of a hospice facility.
05
- Palliative care teams who want to transition their patient to a hospice setting to better manage their end-of-life care.
06
- Insurance providers or case managers who need to coordinate and authorize the patient's admission to a hospice.
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Referral-form - Bury Hospice is a document used to refer patients to Bury Hospice for specialized care and support.
Healthcare professionals, social workers, or family members are required to file the referral-form for Bury Hospice.
The referral-form for Bury Hospice can be filled out by providing the patient's details, medical history, and reasons for referral.
The purpose of the referral-form for Bury Hospice is to facilitate the admission process and ensure that patients receive the appropriate care and support.
The referral-form for Bury Hospice must include the patient's name, contact information, medical condition, and reasons for referral.
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