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REFERRAL FOR Pediatric HEPATOLOGY Completed forms need to be emailed to char. PaedLiverRegistrars@NHS.net Please contact the on call pediatric liver registrar when sending this form On call registrar:
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How to fill out referral for paediatric hepatology

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How to fill out referral for paediatric hepatology

01
To fill out a referral for paediatric hepatology, follow these steps:
02
Start by filling in the patient's personal information, such as their name, date of birth, and contact details.
03
Provide relevant medical history, including any previous diagnoses, treatments, or surgeries related to liver health.
04
Include a detailed description of the patient's current symptoms or concerns regarding their liver health.
05
Specify any specific tests or examinations that have already been conducted and their results, if applicable.
06
Indicate any medications or treatments that have been prescribed or tried for the patient's liver condition.
07
Briefly describe the reason for the referral to paediatric hepatology and the desired outcome or expectation from the consultation.
08
Make sure to include the referring physician's contact information for further coordination or communication.
09
Double-check all the information provided for accuracy and completeness before submitting the referral form.

Who needs referral for paediatric hepatology?

01
Referral for paediatric hepatology is typically required for the following individuals:
02
- Children or adolescents who are experiencing liver-related symptoms, such as jaundice, abdominal pain, recurring infections, or abnormal liver function test results.
03
- Patients with a suspected or known liver condition that necessitates specialized evaluation, diagnosis, or treatment in the field of paediatric hepatology.
04
- Individuals with a family history of liver disease or genetic liver disorders, especially if there are concerns about potential hereditary conditions.
05
It is essential to consult with a healthcare professional or paediatrician to determine if a referral to paediatric hepatology is necessary for a specific case.

What is REFERRAL FOR PAEDIATRIC HEPATOLOGY Form?

The REFERRAL FOR PAEDIATRIC HEPATOLOGY is a fillable form in MS Word extension needed to be submitted to the required address to provide certain information. It has to be filled-out and signed, which is possible manually, or with a certain software such as PDFfiller. This tool helps to complete any PDF or Word document directly from your browser (no software requred), customize it depending on your purposes and put a legally-binding e-signature. Once after completion, user can send the REFERRAL FOR PAEDIATRIC HEPATOLOGY to the appropriate receiver, or multiple individuals via email or fax. The blank is printable too thanks to PDFfiller feature and options presented for printing out adjustment. Both in digital and physical appearance, your form will have got clean and professional outlook. Also you can save it as the template for further use, without creating a new document from scratch. All you need to do is to customize the ready document.

REFERRAL FOR PAEDIATRIC HEPATOLOGY template instructions

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Referral for paediatric hepatology is a request made by a healthcare provider to refer a patient to a specialist in paediatric hepatology for further evaluation and treatment of liver issues.
Any healthcare provider who identifies a child with liver issues that require the expertise of a paediatric hepatologist is required to file a referral for paediatric hepatology.
Referral for paediatric hepatology can be filled out by providing the patient's information, medical history, reason for referral, and any relevant test results.
The purpose of referral for paediatric hepatology is to ensure that a child with liver issues receives specialized care and treatment from a paediatric hepatologist.
Information that must be reported on a referral for paediatric hepatology includes patient demographics, medical history, reason for referral, and any relevant test results.
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