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REFERRAL FORM ESTATE & PERSONAL TRUST SERVICES 700 808 West Hastings St, Vancouver, BC V6C 3L3 pH: 604.660.4444 email: estates trustee.bc.ca Please fax this fully completed form to: 604.660.0964 Print
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How to fill out epts referral form epts

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How to fill out EPTS referral form EPTS:

01
Start by including your personal information, such as your name, address, phone number, and email address. This information is crucial for contacting you or verifying your identity.
02
Provide details about the client or patient that you are referring. Include their name, contact information, and any relevant medical history or condition. This information helps the EPTS team understand the specific needs of the individual.
03
Specify the reason for the referral. Clearly state the purpose of the referral and describe the services or resources that you are seeking for the client/patient. This will help the EPTS team direct the referral appropriately.
04
Attach supporting documentation, if necessary. If there are any medical records, test results, or other relevant documents that support the referral, make sure to include them along with the referral form. This additional information can provide more insights for the EPTS team and aid in their decision-making process.
05
Review and double-check the completed form. Before submitting the referral form, ensure that you have filled out all the required fields accurately and completely. A thorough review reduces the chances of errors or misunderstandings.
06
Submit the referral form through the designated channel. Follow the instructions provided to submit the form electronically or via mail, depending on the preferred method outlined by the EPTS program.

Who needs EPTS referral form EPTS?

The EPTS referral form is typically required by healthcare professionals, social workers, or other individuals involved in the care and support of patients or clients who require specialized services. These individuals may include doctors, therapists, case managers, or caregivers who identify the need for additional assistance beyond their scope of practice or expertise. The EPTS referral form helps facilitate access to the EPTS program, ensuring that patients receive the appropriate services and resources for their specific needs.
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EPTS referral form is a form used to refer individuals to the Exceptional Patient Transfer Service.
Healthcare providers or facilities who need to transfer a patient under exceptional circumstances.
The form must be completed with the patient's medical information, reason for transfer, and contact details.
The purpose is to facilitate the transfer of patients requiring specialized care to appropriate healthcare facilities.
Patient's condition, medical history, reason for transfer, and receiving facility information.
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