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OPHTHALMOLOGY MACULAR SERVICE REFERRAL FORM Patient s Name: Date of birth: Address: Telephone No: GP: Dr. GP Address: Clinical Information Visual acuity or Right Eye and Left Eye (Specify if refraction
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What is belfast health and social?
Belfast Health and Social Care Trust is a health and social care trust in Northern Ireland that provides a range of health and social services to the population.
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Healthcare providers, social service organizations, and individuals receiving services from the trust may be required to file Belfast Health and Social forms.
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To fill out Belfast Health and Social forms, individuals and organizations must provide accurate information about their health and social care needs and services received.
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The purpose of Belfast Health and Social forms is to gather information about the health and social care needs of the population and to ensure that services are meeting those needs.
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Information reported on Belfast Health and Social forms may include medical history, current health conditions, social care needs, and services received.
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