Get the free Geriatric Day Hospital Referral Form - Dalhousie University

Geriatric Day HospitalReferral Form Phone: (902) 4732493Fax: (902) 4737336Please print clearly and complete all sections. N Falls Referral n Regular Referral Name:n Letter Attached Address: Phone#:

How to fill out geriatric day hospital referral

How to fill out geriatric day hospital referral

1. To fill out a geriatric day hospital referral, follow these steps:
2. Start by gathering all the necessary information about the patient, including their personal details, medical history, and any relevant test results or scans.
3. Contact the geriatric day hospital and request a referral form. They may have a specific form that needs to be filled out, or they may require you to submit the patient's information in a specific format.
4. Begin filling out the referral form, ensuring that you provide accurate and detailed information about the patient's condition, symptoms, and any specific concerns you may have.
5. Include any relevant medical documentation or reports that support the need for the patient to be referred to a geriatric day hospital. This may include recent blood tests, imaging results, or specialist consultations.
6. If necessary, consult with the patient's primary care physician or any other healthcare professionals involved in the patient's care to gather additional information or insights.
7. Review the completed referral form to ensure that all required fields are filled out accurately and completely. Double-check for any spelling or typographical errors.
8. Submit the referral form to the geriatric day hospital by either mailing it, faxing it, or submitting it through their online portal, as per their instructions.
9. Keep a copy of the referral form for your records, and ensure that you have all the necessary contact information to follow up on the referral if needed.
10. Monitor the progress of the referral and follow up with the geriatric day hospital if you haven't received a response within a reasonable timeframe.
11. Communicate any updates or changes in the patient's condition to the geriatric day hospital as needed.

Who needs geriatric day hospital referral?

1. A geriatric day hospital referral is typically needed for elderly individuals who require specialized medical care and rehabilitation services. Some common examples of individuals who may require a geriatric day hospital referral include:
2. - Older adults who have recently been discharged from the hospital and require ongoing medical monitoring and treatment.
3. - Seniors who have experienced a decline in their physical or cognitive abilities and would benefit from comprehensive geriatric assessment and therapy.
4. - Elderly individuals with complex medical conditions or multiple chronic diseases that need coordinated care and management.
5. - Older adults who have fallen or experienced an injury and need rehabilitation to regain their strength, mobility, and independence.
6. - Seniors who are experiencing difficulties with activities of daily living, such as bathing, dressing, or eating, and would benefit from occupational or physical therapy.
7. - Older individuals who require comprehensive medication review and management to prevent adverse drug interactions or optimize their medication regimen.
8. It's important to consult with a healthcare professional or the geriatric day hospital itself to determine if a referral is necessary and appropriate for a specific individual.

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What is geriatric day hospital referral?

A geriatric day hospital referral is a formal request for a senior patient to receive specialized medical and rehabilitation services in a structured day hospital setting.

Who is required to file geriatric day hospital referral?

Typically, healthcare providers such as physicians or specialists who are involved in the care of older adults are required to file geriatric day hospital referrals.

How to fill out geriatric day hospital referral?

To fill out a geriatric day hospital referral, you need to complete the designated referral form, providing patient information, medical history, reasons for referral, and any specific services required.

What is the purpose of geriatric day hospital referral?

The purpose of a geriatric day hospital referral is to facilitate access to comprehensive evaluation and therapeutic interventions designed to improve the health and quality of life for elderly patients.

What information must be reported on geriatric day hospital referral?

The information that must be reported includes patient demographics, medical history, current medications, assessment of functional ability, and reason for referral.