Get the free TWO WEEK WAIT REFERRAL template

TWO WEEK WAIT REFERRAL FORM UPPER GI CANCER AND IRON DEFICIENCY ANEMIA To make a referral, FAX this form to 01962 825570 From:GP's name:(if other, please state): Address: Tel no: Fax no: Date of Referral:

How to fill out two week wait referral

How to fill out two week wait referral

1. To fill out a two week wait referral, follow these steps:
2. Start by filling out the patient's personal details in the designated areas. This includes their name, age, gender, contact information, and address.
3. Provide relevant medical information, such as the patient's symptoms, medical history, and any previous test results that are available.
4. Specify the reason for the referral, emphasizing the urgency for a two week wait appointment. This could be due to suspected cancer or other serious medical conditions.
5. Include any supporting documents or reports that are necessary for the referral, such as imaging scans or biopsy results.
6. Double-check all the information entered to ensure accuracy and completeness.
7. Submit the referral to the appropriate healthcare provider or department, following their specific submission process.
8. Keep a copy of the referral for your records.
9. Follow up with the healthcare provider if you haven't received a response within the designated time frame.

Who needs two week wait referral?

1. A two week wait referral is typically needed for patients who are suspected to have cancer or other serious medical conditions that require urgent evaluation and treatment.
2. This referral pathway ensures that patients with potential cancer symptoms are seen by a specialist within two weeks from referral, helping to reduce delays in diagnosis and improve treatment outcomes.
3. It is usually recommended for patients presenting with symptoms such as unexplained lumps, persistent and unexplained pain, unexplained weight loss, unexplained bleeding, or other concerning symptoms that may indicate a possible cancer diagnosis.
4. However, the specific criteria for a two week wait referral may vary depending on the healthcare system and the specific guidelines in place. It is best to consult with a healthcare professional or refer to local guidelines for more information.

What is TWO WEEK WAIT REFERRAL Form?

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Instructions for the TWO WEEK WAIT REFERRAL form

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What is two week wait referral?

Two week wait referral is a fast-track referral system used in healthcare to prioritize patients with suspected cancer. It ensures that patients are seen by a specialist within two weeks of referral by a primary care physician.

Who is required to file two week wait referral?

Primary care physicians are responsible for filing two week wait referrals for patients who are suspected to have cancer.

How to fill out two week wait referral?

To fill out a two week wait referral, primary care physicians need to provide relevant medical information and reasons for suspecting cancer in the patient. This includes patient demographics, symptoms, test results, and other pertinent details.

What is the purpose of two week wait referral?

The purpose of two week wait referral is to expedite the diagnostic process for patients suspected of having cancer, allowing them to receive timely assessment and treatment.

What information must be reported on two week wait referral?

Two week wait referral must include patient demographics, clinical history, relevant test results, suspected cancer type, and reasons for referral.