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PRIORITY ALLIED HEALTH REFERRAL FORM (Western) Priority Allied Health Services Program (PASS) Updated 15Jul2021 PATIENT ELIGIBILITY Who is eligible to be referred to providers under PASS? Health Care

How to fill out priority allied health referral

How to fill out priority allied health referral

1. To fill out a priority allied health referral, follow these steps:
2. Start by obtaining the necessary referral form from the healthcare facility or provider.
3. Fill out the patient's personal information, including their full name, date of birth, and contact details.
4. Provide relevant medical history, including any previous diagnoses, treatments, or medications.
5. Indicate the type of allied health service that is required. This can include physiotherapy, occupational therapy, speech therapy, etc.
6. Specify the reason for the referral and any specific concerns or goals for the patient's treatment.
7. If there is a preferred allied health practitioner, include their details and any specific reasons for the preference.
8. If applicable, provide any additional relevant information or documents that may assist the allied health professional in understanding the patient's condition.
9. Review the completed referral form for accuracy and completeness before submitting it to the appropriate healthcare provider or facility.
10. Follow any specific instructions or protocols provided by the healthcare provider for submission and follow-up.

Who needs priority allied health referral?

1. Priority allied health referral is typically needed for individuals who require urgent or specialized allied health services.
2. This referral may be necessary for patients with complex medical conditions, significant functional limitations, or those who have experienced recent injuries.
3. Furthermore, individuals who are at a higher risk of deteriorating health or worsening symptoms may also require a priority referral.
4. The need for a priority allied health referral is determined by the healthcare provider based on the patient's condition and the urgency of treatment.
5. It is important to consult with a healthcare professional to determine if a priority allied health referral is necessary for a specific individual.

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What is priority allied health referral?

Priority allied health referral is a system used to prioritize referrals for allied health services based on the urgency of the patient's needs.

Who is required to file priority allied health referral?

Healthcare providers, such as doctors or nurses, are required to file priority allied health referrals for their patients who require allied health services.

How to fill out priority allied health referral?

To fill out a priority allied health referral, healthcare providers need to include relevant patient information, reason for referral, urgency level, and any supporting documentation.

What is the purpose of priority allied health referral?

The purpose of priority allied health referral is to ensure that patients receive timely access to allied health services based on the severity of their condition.

What information must be reported on priority allied health referral?

Information such as patient demographics, medical history, reason for referral, urgency level, and any relevant test results or imaging studies must be reported on priority allied health referral.