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Tissue Viability Service Referral Form A Tissue Viability referral form and good quality photograph must be completed and emailed or posted the relevant TV office. Patient Details Name Date of Birth
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How to fill out a tissue viability referral

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How to fill out a tissue viability referral

01
Step 1: Obtain the tissue viability referral form from the appropriate healthcare provider or department.
02
Step 2: Fill out the patient's personal information, such as their name, date of birth, and contact details.
03
Step 3: Provide relevant medical history, including any previous wounds or skin conditions.
04
Step 4: Specify the reason for the referral, such as suspected pressure ulcers or non-healing wounds.
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Step 5: Include any supporting information or test results that may be relevant to the referral.
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Step 6: Sign and date the referral form.
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Step 7: Submit the completed referral form to the designated healthcare professional or department.

Who needs a tissue viability referral?

01
Patients who have wounds, pressure ulcers, or other skin-related issues that require specialized tissue viability assessment and management may need a tissue viability referral.

What is A Tissue Viability referral and good quality photograph must be Form?

The A Tissue Viability referral and good quality photograph must be is a writable document needed to be submitted to the specific address to provide specific information. It needs to be completed and signed, which can be done manually in hard copy, or with a certain solution e. g. PDFfiller. It allows to complete any PDF or Word document right in the web, customize it depending on your requirements and put a legally-binding e-signature. Once after completion, you can easily send the A Tissue Viability referral and good quality photograph must be to the appropriate person, or multiple individuals via email or fax. The blank is printable too from PDFfiller feature and options offered for printing out adjustment. Both in electronic and physical appearance, your form will have a neat and professional look. It's also possible to save it as the template for later, there's no need to create a new blank form from scratch. All you need to do is to customize the ready form.

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A tissue viability referral is a request made by healthcare professionals to a specialist in wound care and tissue viability for assessment and management of wounds that are slow to heal or at risk of deterioration.
Any healthcare professional dealing with wounds that require specialist assessment and management may file a tissue viability referral.
To fill out a tissue viability referral, healthcare professionals need to provide detailed information about the patient, the wound, the current treatment, and any relevant medical history.
The purpose of a tissue viability referral is to ensure that wounds are properly assessed and managed by specialists in wound care and tissue viability to promote healing and prevent complications.
Information such as patient demographics, wound characteristics, current treatment, relevant medical history, and any special considerations must be reported on a tissue viability referral.
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