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LIAISON PSYCHIATRY SERVICE Referral Former ADULTS AGED 16 and over. RCH TreliskePLEASE FAX THIS FORM TO 2930 or 01872 252930 (external)Referral Details Date of ReferralTime of Referral Ward ReferrerBleep
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The liaison psychiatry service-referral form is a document used to request psychiatric consultation for patients in general hospital settings.
Any medical provider or healthcare professional involved in the care of a patient in a general hospital setting may be required to file the liaison psychiatry service-referral form.
The liaison psychiatry service-referral form can be filled out by providing the patient's information, reason for referral, and any relevant medical history or current psychiatric symptoms.
The purpose of the liaison psychiatry service-referral form is to facilitate communication and collaboration between medical and psychiatric providers in the care of patients with complex medical and psychiatric needs.
Information such as patient demographics, current medical condition, psychiatric symptoms, relevant history, and reason for referral must be reported on the liaison psychiatry service-referral form.
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