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BALLARAT HEALTH SERVICES Children at Risk (CAR) Clinic Referral Proforma This form can be completed by the DHS caseworker, parent / guardian or referring GP. It must accompany a medical practitioner
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How to fill out car clinic proforma
How to fill out car clinic proforma
01
Step 1: Start by opening the car clinic proforma document.
02
Step 2: Fill in the patient's personal information such as name, address, and contact details.
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Step 3: Provide relevant information about the patient's vehicle, including the make, model, and year.
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Step 4: Indicate the reason for the visit or any specific concerns the patient has about their car.
05
Step 5: Record the patient's car mileage and any additional information about the vehicle's condition.
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Step 6: Note down any recommended repairs, services, or parts that need to be replaced.
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Step 7: Include the estimated cost of the recommended services or repairs.
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Step 8: Obtain the patient's signature to acknowledge the information provided and consent for the services.
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Step 9: Provide a copy of the filled-out proforma to the patient for their records.
Who needs car clinic proforma?
01
Car clinic proforma is needed by automotive service centers, car clinics, or mechanics to document information about their patients and their vehicles. It helps in keeping a record of services provided, recommended repairs, and cost estimates. This proforma is useful for tracking and maintaining a history of each patient's car visits and is beneficial for both the service provider and the customer.
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What is car clinic proforma?
Car clinic proforma is a document that provides an overview of a car clinic, including details such as participants, schedule, and objectives.
Who is required to file car clinic proforma?
Car clinic organizers are required to file the car clinic proforma.
How to fill out car clinic proforma?
Car clinic proforma can be filled out by providing information such as the date of the clinic, location, participants, objectives, and any other relevant details in the designated sections.
What is the purpose of car clinic proforma?
The purpose of car clinic proforma is to document and organize information about the car clinic, ensuring that all details are readily available for reference and planning purposes.
What information must be reported on car clinic proforma?
Information such as the date, location, participants, objectives, schedule, and any other relevant details must be reported on car clinic proforma.
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