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Get the free CMHA HKPR OTN PEDIATRIC CLINICAL REFERRAL FORM

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1CMHA HK PR OTN PEDIATRIC CLINICAL REFERRAL FORM Please fax to CMA HK PR VIRTUAL CARE PSYCHIATRIC CLINIC Attn: OTN Nurses Jessica Swift / Kara Sicker and Admin Wendy Brand PHONE: 7057486687 ext. 1034/1035
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To fill out the CMHA HKPR OTN pediatric form, follow these steps:
02
Start by downloading the form from the CMHA HKPR website.
03
Open the form in a PDF reader or editor.
04
Begin by entering the child's personal information, such as their name, age, and contact details.
05
Provide details about the child's medical history, any medications they are currently taking, and any allergies they may have.
06
If applicable, indicate any specific concerns or reasons for the child's visit or consultation.
07
Ensure all sections of the form are complete and accurately filled out.
08
Once finished, save a copy of the filled-out form for your records.
09
Submit the form through the designated submission method mentioned on the CMHA HKPR website.

Who needs cmha hkpr otn pediatric?

01
The CMHA HKPR OTN pediatric form is needed by parents or legal guardians of pediatric patients who require mental health services or consultations through the CMHA HKPR OTN platform.
02
It is specifically designed for children and adolescents who may benefit from remote mental health support or require virtual consultations with healthcare professionals.
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CMHA HKPR OTN Pediatric stands for Canadian Mental Health Association Haliburton, Kawartha, Pine Ridge Ontario Telemedicine Network Pediatric program. It is a program aimed at providing mental health services to children and youth through telemedicine technology.
Healthcare providers and organizations involved in providing mental health services to children and youth are required to file CMHA HKPR OTN Pediatric.
CMHA HKPR OTN Pediatric can be filled out by entering relevant information about the patients, services provided, and outcomes of the mental health services delivered to children and youth.
The purpose of CMHA HKPR OTN Pediatric is to track and monitor the mental health services provided to children and youth, as well as to improve access to mental health care through telemedicine technology.
Information such as patient demographics, types of services provided, outcomes of the services, and any follow-up care given must be reported on CMHA HKPR OTN Pediatric.
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