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HEMATOLOGY SUSPECTED CANCER REFERRAL FORM Date of GP decision to refer: Click here to enter a date. No. of pages sent:IF CHOOSE & BOOK IS UNAVAILABLE, COMPLETE FORM AND FAX TO THE REFERRAL TEAM WITHIN
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How to fill out haematology suspected cancer referral

How to fill out haematology suspected cancer referral
01
To fill out a haematology suspected cancer referral, follow these steps:
02
Start by providing the patient's personal information, including their full name, date of birth, and contact details.
03
Document the patient's medical history, including any past diagnoses, treatments, or surgeries.
04
Specify the reason for the referral, detailing the symptoms or abnormalities that raise suspicion of cancer.
05
Include relevant test results or diagnostic findings that support the suspicion of cancer, such as blood test abnormalities or abnormal imaging results.
06
Provide a complete list of any medications the patient is currently taking, including dosages and frequency.
07
Include any other pertinent information, such as family history of cancer or known risk factors.
08
Lastly, sign and date the referral form, ensuring that all information is accurate and complete.
09
Note: It is important to consult the local haematology referral guidelines or protocols for any specific requirements or additional information that may be needed.
Who needs haematology suspected cancer referral?
01
A haematology suspected cancer referral is generally required for patients who exhibit symptoms or present with abnormalities that raise suspicion of a haematological cancer. These may include symptoms such as unexplained weight loss, fatigue, frequent infections, abnormal bleeding or bruising, enlarged lymph nodes, or abnormal blood test results. The referral is typically made by primary care physicians or other healthcare professionals who have identified these signs and symptoms in the patient and seek a haematologist's expertise in further evaluation and diagnosis.
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What is haematology suspected cancer referral?
Haematology suspected cancer referral is a process where patients suspected of having cancer are referred to a haematologist for further evaluation and treatment.
Who is required to file haematology suspected cancer referral?
Medical professionals such as physicians, oncologists, and general practitioners are required to file haematology suspected cancer referrals.
How to fill out haematology suspected cancer referral?
To fill out a haematology suspected cancer referral, the medical professional must provide patient information, suspected cancer type, relevant medical history, and reason for suspicion.
What is the purpose of haematology suspected cancer referral?
The purpose of haematology suspected cancer referral is to ensure timely and appropriate treatment for patients suspected of having cancer.
What information must be reported on haematology suspected cancer referral?
Information such as patient demographics, medical history, suspected cancer type, reason for suspicion, and referring physician details must be reported on a haematology suspected cancer referral.
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