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BOYLE HOSPICE WEEKLY DRAW Membership Form Please Print Out And Return To: Boyle Hospice Fundraising Dept., 61 Culture Road, BT48 8JE Your Personal Details Title: Mr/Mrs/Miss/Ms* (please state)...............................
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Gather all the necessary information about the patient and their medical history.
02
Prepare a form or document where the information can be filled out.
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Start by providing the patient's basic details such as their full name, date of birth, and contact information.
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Include information about the patient's current medical condition, any ongoing treatments or medications they are taking, and any known allergies.
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Ask for emergency contact details, including the names and phone numbers of family members or close friends who should be contacted in case of an emergency.
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Provide a section for the patient's insurance information, including the name of the insurance company, policy number, and contact information.
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If applicable, ask for the contact information of the patient's primary care physician or any specialists they are seeing.
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Include a section for any additional notes or special instructions that the patient's family might want to provide.
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Double-check all the filled-out information for accuracy and completeness before finalizing the document.

Who needs information for patients families?

01
The immediate family members of the patient, such as parents, spouse, or children, who will be involved in their care.
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Close relatives or friends who have been designated as the patient's emergency contacts.
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Healthcare professionals who will be treating the patient and need to have comprehensive information about their medical history.
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Medical staff at hospitals or medical facilities where the patient might be admitted.
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Information for patients families includes details about the patient's condition, treatment plan, and any relevant updates that the family should be aware of.
Medical professionals, such as doctors, nurses, and social workers, are typically responsible for filing information for patients families.
Information for patients families can be filled out through electronic medical records systems, paper forms, or verbally communicated by healthcare providers.
The purpose of information for patients families is to keep them informed about their loved one's medical condition, treatment plan, and progress in order to involve them in the care process.
Information for patients families should include the patient's diagnosis, treatment options, medication details, prognosis, and any recommendations for family involvement.
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