Get the free BCHC Physiotherapy Provider Referral Form

Address: Phone: Website:490 Huron Road, Barrie, ON L4N 6M2 (705) 7349690 Fax: www.bchc.ca(705)7340239PHYSIOTHERAPY REFERRAL FORM Note that patients referred to PT services must: be aged 2064 with

How to fill out bchc physioformrapy provider referral

How to fill out bchc physioformrapy provider referral

1. To fill out the BCHC Physiotherapy Provider Referral form, follow these steps:
2. Obtain the referral form from the BCHC or download it from their website.
3. Fill out the patient's personal information including their name, address, date of birth, and contact details.
4. Provide details of the referring healthcare professional, including their name, contact information, and specialty.
5. Specify the reason for the referral and the specific physiotherapy services required.
6. Indicate any relevant medical history or previous treatments related to the referral.
7. Sign and date the referral form.
8. Submit the completed form to the BCHC Physiotherapy Department either in person, via fax, or by mail.
9. Keep a copy of the referral form for your records.

Who needs bchc physioformrapy provider referral?

1. Anyone who requires physiotherapy services from BCHC can benefit from a Physiotherapy Provider Referral.
2. This may include individuals who have sustained injuries, are experiencing chronic pain, or have certain medical conditions that require specialized physiotherapy treatment.
3. Additionally, individuals who have recently undergone surgery or are in need of post-operative rehabilitation may also need a BCHC Physiotherapy Provider Referral.

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What is bchc physioformrapy provider referral?

BCHC physioformrapy provider referral is a referral form used to refer patients to physiotherapy services provided by BCHC.

Who is required to file bchc physioformrapy provider referral?

Healthcare providers, doctors, or specialists who are treating the patient and believe physiotherapy services are necessary.

How to fill out bchc physioformrapy provider referral?

The referral form should be completed with the patient's information, reason for the referral, and any relevant medical history or test results.

What is the purpose of bchc physioformrapy provider referral?

The purpose of the referral is to ensure that patients receive the necessary physiotherapy services to aid in their recovery or rehabilitation.

What information must be reported on bchc physioformrapy provider referral?

Patient's name, date of birth, contact information, reason for referral, relevant medical history, and any supporting documentation.