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BRANDON CHILDREN THERAPY TEAM BRANDON Occupational TherapyCHILDS INFORMATION (Please Print)Physiotherapy/o Prairie Mountain Health Therapy Services 150 McDavis Avenue East Brandon, MB R7A 2B3 Fax:
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01
To fill out the referral form for sscy, follow these steps:
02
Start by inputting the patient's information, including their name, age, gender, and contact details.
03
Specify the referring physician or healthcare professional, providing their name and contact information as well.
04
Indicate the reason for the referral and provide any relevant medical history or current symptoms to support the referral.
05
Include any specific tests, treatments, or services requested for the patient.
06
If applicable, mention any additional notes or instructions for the receiving party.
07
Review the form for accuracy and completeness before submitting it.
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Once verified, sign and date the referral form.
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Send the completed referral form via the designated method, ensuring it reaches the appropriate recipient.
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Retain a copy of the referral form for your records.

Who needs referral form - sscy?

01
Anyone who requires a referral to sscy can use the referral form. This may include patients who need specialized medical care, diagnostic tests, therapeutic interventions, or other services provided by sscy.
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Referral forms are typically used by healthcare professionals, such as physicians, nurse practitioners, or other authorized individuals, to refer their patients to sscy.
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Patients or their caregivers may also need to fill out the referral form in specific cases where self-referral is allowed, depending on the healthcare system or policies in place.
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The referral form - sscy is a document used to report specific incidents or concerns related to safety, security, or compliance within an organization.
Individuals or entities that encounter or observe issues pertinent to safety, security, or compliance, such as employees, managers, and compliance officers, are typically required to file the referral form - sscy.
To fill out the referral form - sscy, provide accurate information regarding the incident, including the date, location, involved parties, and a detailed description of the issue. Ensure that all required fields are completed.
The purpose of the referral form - sscy is to formally document and report incidents or concerns that may affect the safety and security of an organization, facilitating appropriate investigation and action.
The referral form - sscy must include information such as the date and time of the incident, the location, a description of the concern, the names of parties involved, and any relevant evidence or documentation.
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