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COPD GP Exercise Referral Form To be completed by the Referring Doctor or designated health professional. Please print clearly Patient Details Patient s Name Date of Birth Gender M Tel Number F Address Postcode Email Address Ethnicity Patient Informed Consent The REACH exercise referral scheme has been fully explained to me. Asp. Lung Cancer Respiratory Failure Other Additional medical history Arthritis Abdominal Aneurysm CABG Angina Ankylosing Spondylitis Diabetes CVA Aortic Valve Disease...
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How to fill out copd gp exercise referral

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How to fill out copd gp exercise referral

01
Step 1: Start by obtaining a referral form from your GP or healthcare professional.
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Step 2: Read the guidance notes provided with the referral form to understand the requirements.
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Step 3: Fill out your personal details such as name, address, contact information, and date of birth.
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Step 4: Provide information about your COPD condition, including any relevant medical history and current symptoms.
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Step 5: Specify the type of exercise or physical activity you are interested in doing, as well as any preferences or limitations you may have.
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Step 6: Indicate any other relevant information or concerns you may have regarding the exercise referral.
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Step 7: Review the completed form for accuracy and completeness.
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Step 8: Submit the filled-out form to your GP or healthcare professional, either in person or through the specified submission method.
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Step 9: Wait for confirmation or further instructions from your GP or healthcare professional regarding the exercise referral.

Who needs copd gp exercise referral?

01
Individuals diagnosed with COPD (Chronic Obstructive Pulmonary Disease) may benefit from a GP exercise referral.
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Those who experience breathing difficulties, reduced lung function, or have been advised by their doctor to engage in regular physical activity for COPD management.
03
Those who are looking to improve their breathing, lung capacity, and overall fitness levels.
04
Those who want professional guidance and support to ensure that their exercise routine is safe and appropriate for their COPD condition.
05
People who prefer a structured, supervised exercise program rather than self-guided activities.
06
Individuals who are looking to manage their COPD symptoms through exercise and improve their quality of life.
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COPD GP exercise referral is a program designed to help patients with Chronic Obstructive Pulmonary Disease (COPD) improve their exercise capacity and overall quality of life through a structured exercise plan prescribed by a GP.
Patients with COPD who are looking to participate in the exercise referral program are required to file a COPD GP exercise referral.
To fill out a COPD GP exercise referral, patients need to schedule an appointment with their GP to discuss their condition, goals, and healthcare needs. The GP will then provide a personalized exercise plan and referral form.
The purpose of COPD GP exercise referral is to help COPD patients improve their physical fitness, manage their symptoms, and enhance their overall well-being.
The COPD GP exercise referral form typically includes information about the patient's medical history, current medications, exercise restrictions, and goals for the program.
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