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PROFORMA REFERRAL OF A KEY DECISION TO THE SCRUTINY AND OVERVIEW COMMITTEE For the attention of: Victoria Lower, Democratic Services & Scrutiny email to Victoria. Lower Croydon.gov.UK and Clooney.
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To fill out a proforma referral, follow these steps:
02
Start by entering the necessary contact details of the referring person, such as their name, address, phone number, and email.
03
Next, provide the information about the patient being referred, including their name, date of birth, address, and contact details.
04
Specify the reason for the referral by describing the medical condition or issue that requires further attention.
05
Indicate the preferred healthcare provider or specialist to whom the referral is being made.
06
If applicable, include any relevant medical history or test results that support the referral.
07
Sign and date the proforma referral to authenticate the document.
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Make sure to provide a copy of the referral to the patient and keep a copy for your records.

Who needs proforma referral of a?

01
Proforma referral forms may be needed by healthcare professionals, such as general practitioners, doctors, or specialists, who wish to refer a patient to another healthcare provider or specialist.
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Proforma referral of a is a document that allows for the transfer of a case from one court to another.
The party requesting the transfer of the case is required to file the proforma referral of a.
Proforma referral of a can be filled out by providing details of the case, including the court it is transferring from and to.
The purpose of proforma referral of a is to ensure smooth transfer of a case from one court to another.
Information such as case details, court information, and reason for transfer must be reported on proforma referral of a.
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