Get the free fetal-cardiology-referral-form

Eveline London Fetal Cardiology Direct Telephone Numbers: 020 7188 2308 Department of Congenital Heart Disease 020 7188 9201 First Floor, South Wing St Thomas Hospital Email: gsttr.fetalcardiologygstt@nhs.net

How to fill out fetal-cardiology-referral-form

How to fill out fetal-cardiology-referral-form

1. Start by obtaining a copy of the fetal-cardiology-referral-form from a medical facility or healthcare provider.
2. Read the form carefully to understand the information and details required.
3. Fill in the patient's personal information accurately, including name, age, contact details, and relevant medical history.
4. Provide the referring physician's information, including their name, contact details, and medical practice information.
5. Specify the reason for referral, indicating the suspected or confirmed fetal cardiac condition or concern.
6. Include any relevant test results or diagnostic reports related to the fetal cardiac evaluation.
7. Indicate any specific instructions or requirements for the fetal cardiology specialist.
8. Review the completed form to ensure all necessary fields are filled and the information is correct.
9. Sign and date the referral form.
10. Submit the filled-out fetal-cardiology-referral-form to the designated medical facility or specialist for further evaluation and management.

Who needs fetal-cardiology-referral-form?

1. The fetal-cardiology-referral-form is typically needed by healthcare providers or medical professionals who suspect or identify a fetal cardiac abnormality or need further evaluation of fetal heart conditions.
2. It can be required by obstetricians, perinatologists, pediatricians, or other specialists involved in prenatal care to refer the patient to a fetal cardiology specialist.
3. Pregnant women who have been diagnosed with or are suspected to have a fetal cardiac condition may also need to fill out this form to initiate the referral process.

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What is fetal-cardiology-referral-form?

Fetal-cardiology-referral-form is a document used to refer a fetus for evaluation and care by a cardiologist.

Who is required to file fetal-cardiology-referral-form?

Healthcare providers, such as obstetricians or maternal-fetal medicine specialists, are required to file the fetal-cardiology-referral-form.

How to fill out fetal-cardiology-referral-form?

The form must be completed with the patient's information, reason for referral, medical history, and any relevant test results.

What is the purpose of fetal-cardiology-referral-form?

The purpose of fetal-cardiology-referral-form is to ensure proper evaluation and management of fetal cardiac abnormalities.

What information must be reported on fetal-cardiology-referral-form?

The form must include the patient's demographics, gestational age, reason for referral, maternal medical history, and any relevant test results.