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Allied Health Referral Request Please complete the screening tools below. If your patient screens positive and a referral to RAN is recommended, please fax this form to (403) 2503055. For all RAN

How to fill out allied health referral request

How to fill out allied health referral request

1. Obtain the allied health referral request form from the relevant healthcare facility or download it from their website.
2. Fill in your personal information, including your full name, address, contact details, and date of birth. Make sure to provide accurate and up-to-date information.
3. Provide details about your medical condition or reason for seeking allied health services. Be clear and concise in describing your symptoms or desired treatment.
4. Indicate the type of allied health professional you require, such as physiotherapist, occupational therapist, speech therapist, etc.
5. If you have a specific practitioner in mind, mention their name or provide any relevant preferences.
6. Attach any supporting documents, such as medical reports, test results, or previous referrals, if required.
7. Review the completed form for any errors or missing information. Make sure all sections are filled out accurately.
8. Submit the referral request form to the designated recipient, such as your primary care provider or the allied health department of the healthcare facility.
9. Follow up with the healthcare facility to ensure that your referral request has been received and processed.
10. Once your referral is approved, you will be contacted with further instructions regarding your allied health services.

Who needs allied health referral request?

1. Anyone who requires specific allied health services or treatments can benefit from filling out an allied health referral request.
2. This includes individuals with medical conditions or injuries that may require the expertise of allied health professionals such as physiotherapists, occupational therapists, speech therapists, podiatrists, or dietitians.
3. Some common examples of those who may need an allied health referral request include patients recovering from surgery, individuals with chronic pain or musculoskeletal disorders, children with developmental delays, or individuals needing help with speech or language difficulties.
4. It is advisable to consult with your primary care provider to determine if you would benefit from allied health services and if a referral request is necessary.

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