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Geriatric Services Referral Fax completed referral to 403.529.8070 Missing or incomplete information will delay processing Please ensure client is aware of this referral and that a reliable historian
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How to fill out geriatric services referral

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How to fill out geriatric services referral

01
Step 1: Obtain the geriatric services referral form from the appropriate healthcare provider or agency.
02
Step 2: Fill out the client's personal information, including name, date of birth, address, and contact details.
03
Step 3: Provide relevant medical history, including any existing conditions, medications, and allergies.
04
Step 4: Specify the reason for the referral, describing the client's needs and the desired geriatric services.
05
Step 5: Include any additional relevant information, such as previous treatments or assessments.
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Step 6: If necessary, obtain the client's consent for sharing medical records or information with the geriatric services provider.
07
Step 7: Review the completed referral form for accuracy and completeness.
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Step 8: Submit the referral form to the designated healthcare provider or agency either in person, via mail, fax, or electronically as instructed.
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Step 9: Follow up with the healthcare provider or agency to ensure the referral has been received and processed.

Who needs geriatric services referral?

01
Individuals who are experiencing age-related health issues or are elderly and require specialized care and support.
02
Family members or caregivers who recognize the need for comprehensive geriatric services for their loved ones.
03
Primary care physicians or healthcare professionals who believe that their patient would benefit from a multidisciplinary approach to geriatric care.
04
Social workers or case managers who are assisting older adults in accessing appropriate care services.
05
Insurance companies or governmental agencies responsible for approving and coordinating geriatric services for eligible individuals.
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Geriatric services referral is a process of recommending and connecting elderly individuals to specialized healthcare services for their specific needs.
Healthcare providers, social workers, or family members may be required to file geriatric services referral depending on the situation and the individual's needs.
Geriatric services referral can be filled out by providing the individual's personal information, medical history, reason for referral, and any other relevant details.
The purpose of geriatric services referral is to ensure that elderly individuals receive appropriate and specialized healthcare services to address their unique needs.
Information such as the individual's name, age, medical history, reason for referral, and contact information must be reported on the geriatric services referral form.
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