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ANTENATAL REFERRAL FORM QUEEN MARY HOSPITAL, SID CUP Date of referral: Hospital No (if known):NHS No:DOB:Women Name:Address:Referring GP:Name & Address: Home Tel:Mobile Tel:Allergies:Haemaglobinopathy
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The antenatal referral form queen is a formal document used in healthcare settings to refer a pregnant individual to a specialist for additional care and monitoring during pregnancy.
Healthcare providers, such as obstetricians, midwives, or primary care physicians, are required to file the antenatal referral form queen when they determine that specialized care is needed for the pregnant individual.
To fill out the antenatal referral form queen, healthcare providers must provide patient information, reasons for the referral, medical history, and any relevant test results that support the need for specialized care.
The purpose of the antenatal referral form queen is to ensure that pregnant individuals receive appropriate specialist care, improve health outcomes, and facilitate communication between healthcare providers.
The antenatal referral form queen must include patient demographics, medical history, reasons for referral, expected due date, and any relevant observations or test results.
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