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Get the free Paediatric Allied Health Referral Form - Western Health

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OFFICE USE ONLYPaediatric Allied Health Referral Form pH: 8345 1727 Fax: 9055 2125 Child's Details Child's First NameChilds SurnameDate of BirthGenderAddressMaleFemalePostcodeIs the child of:Aboriginal
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How to fill out paediatric allied health referral

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How to fill out paediatric allied health referral

01
Start by gathering all the necessary information about the patient, including their personal details, medical history, and any previous test results.
02
Identify the specific allied health service or therapist that is required for the paediatric patient.
03
Contact the allied health service provider or therapist to obtain their referral form or template.
04
Fill out the referral form accurately and completely, ensuring that all required fields are filled in.
05
Provide detailed information about the patient's condition, symptoms, and any relevant medical history that may assist the allied health professional in assessing and treating the child.
06
If necessary, attach any supporting documents or test results with the referral form.
07
Double-check the filled referral form for any errors or omissions before submitting it.
08
Submit the completed referral form to the appropriate recipient, which may be the allied health service provider, therapist, or the patient's primary care physician.
09
Keep a copy of the referral form and any supporting documents for your records.
10
Follow up with the allied health service provider or therapist to ensure that they have received the referral and to confirm any further steps or appointments required.

Who needs paediatric allied health referral?

01
Paediatric patients who require specialized allied health services, such as physiotherapy, occupational therapy, speech therapy, or psychology, may need a paediatric allied health referral.
02
These referrals are typically needed for children with developmental delays, physical disabilities, speech disorders, mental health conditions, or any other conditions that require assessment and intervention from allied health professionals.
03
The need for a paediatric allied health referral may be determined by the child's primary care physician, pediatrician, or other medical professionals involved in the child's care
04
Parents or caregivers can also request a referral if they believe that their child would benefit from the expertise and services provided by allied health professionals.
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Paediatric allied health referral is a process by which healthcare providers recommend children to allied health professionals, such as physiotherapists, occupational therapists, or speech therapists, for specialized assessment or treatment.
Healthcare providers, including general practitioners, paediatricians, or other specialists involved in the child's care, are typically required to file paediatric allied health referrals.
To fill out a paediatric allied health referral, include the child's personal information, the referring provider's details, a description of the child's condition, the required allied health services, and any relevant medical history.
The purpose of paediatric allied health referral is to ensure that children receive the appropriate specialized care needed for their developmental or health concerns, facilitating access to appropriate treatments and interventions.
The information that must be reported includes the child's full name, date of birth, address, the referring provider's details, the reason for referral, and any relevant medical history or assessments.
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