Get the free Bear Cottage Medical Referral Form - bearcottage chw edu

Bear Cottage Medical Referral Form MEDICAL OFFICER TO COMPLETE Please return this form by faxing to Bear Cottage on (02) 9976 8303 or by mail to Bear Cottage, PO Box 2500, Manly If you require further

How to fill out bear cottage medical referral

How to fill out Bear Cottage medical referral:

1. Obtain the referral form: Start by obtaining the Bear Cottage medical referral form. This can typically be obtained from the Bear Cottage website or by contacting their administrative office.
2. Provide patient information: Fill out the patient's information accurately on the referral form. This includes their full name, date of birth, address, contact information, and any relevant medical history.
3. Indicate referring healthcare professional: Specify the name, contact information, and professional credentials of the healthcare professional who is making the referral.
4. Specify reason for referral: Clearly state the reason for the medical referral. Provide a brief summary of the patient's condition or medical need that necessitates a referral to Bear Cottage.
5. Include supporting documentation: Attach any relevant supporting documentation, such as medical reports, test results, or specialist recommendations, that can further support the need for referral.
6. Specify preferred appointment date and time: Indicate any preferred date and time for the appointment, if applicable. Bear Cottage will try to accommodate preferences, but availability may vary.
7. Sign and send the referral: Once all the necessary information has been completed, sign the referral form and send it to Bear Cottage through the designated submission method. This may be through email, fax, or regular mail, depending on the instructions provided.

Who needs Bear Cottage medical referral:

1. Children with life-limiting conditions: Bear Cottage is a pediatric palliative care center in Australia. Therefore, children who have been diagnosed with life-limiting conditions or who require specialized pediatric palliative care may need a Bear Cottage medical referral.
2. Healthcare professionals: Bear Cottage medical referral forms are typically completed by healthcare professionals who are familiar with the patient's medical history and are involved in their care. This can include pediatricians, specialists, or general practitioners.
3. Families and caregivers: Families and caregivers of children with life-limiting or complex medical conditions may also be involved in the referral process, as they may assist in providing the necessary information and documentation needed for the referral.

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What is bear cottage medical referral?

Bear Cottage Medical Referral is a form used to refer patients to Bear Cottage for medical care.

Who is required to file bear cottage medical referral?

Healthcare providers, physicians, and medical professionals are required to file Bear Cottage Medical Referral.

How to fill out bear cottage medical referral?

Bear Cottage Medical Referral can be filled out by providing patient information, medical condition, and reason for referral.

What is the purpose of bear cottage medical referral?

The purpose of Bear Cottage Medical Referral is to provide specialized medical care and support for patients with life-limiting illnesses.

What information must be reported on bear cottage medical referral?

Patient's name, age, medical history, current medical condition, and reason for referral must be reported on Bear Cottage Medical Referral.