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Intercostal Referral Form to the Specialist Pancreatic Service National Surgical Center for Pancreatic Cancer, St Vincent's University Hospital: Fax (01) 2213601 Tel (01) 2213537 and 2213767 or switchboard
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How to fill out inter-hospital referral form to

01
Start by gathering all the necessary information, such as the patient's personal details, medical history, and reason for the referral.
02
Fill out the top section of the inter-hospital referral form with the patient's name, date of birth, address, and contact information.
03
Move on to the medical information section and provide details about the referring hospital, including its name, address, and contact information.
04
Indicate the reason for the referral and include any relevant medical diagnoses or conditions that require specialized care.
05
Specify the preferred hospital or specialist where the referral is being sent to, along with their contact information.
06
Provide any additional information or instructions that might be helpful for the receiving hospital or specialist.
07
Review the completed form for accuracy and make sure all sections have been properly filled out.
08
Sign and date the form to validate its authenticity.
09
Submit the filled-out inter-hospital referral form to the appropriate department or person responsible for processing referrals.
10
Keep a copy of the form for your records.

Who needs inter-hospital referral form to?

01
Inter-hospital referral forms are typically required for patients who need to be transferred or referred to another hospital or specialist for further evaluation, treatment, or specialized care.
02
These forms are commonly used in situations where the referring hospital or physician does not have the necessary resources, expertise, or facilities to handle the patient's specific medical conditions.
03
Patients with complex medical conditions, rare diseases, or the need for specialized medical procedures may require inter-hospital referral forms.
04
Additionally, patients who require access to specialized medical equipment or services that are only available at particular hospitals or facilities may also need an inter-hospital referral.
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