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ENDOCRINOLOGY & DIABETES UNIT Endocrinology Clinic: 6048752117 Toll free Phone: 18883003088, x2117 Fax: 6048753231 http://endodiab.bcchildrens.caCOMMUNITY HEALTH NURSE REFERRAL FORM FOR CHILDREN WITH
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How to fill out community health nurse referral
How to fill out community health nurse referral
01
Obtain the community health nurse referral form from the appropriate department or healthcare provider.
02
Fill out the patient's demographic information, such as name, address, date of birth, and contact information.
03
Provide details about the patient's medical history, current health status, and any specific needs or concerns.
04
Include information about the healthcare provider who is referring the patient to the community health nurse.
05
Sign and date the referral form before submitting it to the designated recipient.
Who needs community health nurse referral?
01
Individuals who require ongoing healthcare monitoring and support in the community.
02
Patients with chronic illnesses or complex medical conditions who would benefit from the services of a community health nurse.
03
Healthcare providers who are coordinating care for their patients and believe that a community health nurse could provide additional assistance and resources.
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What is community health nurse referral?
Community health nurse referral is a process where individuals are referred to a community health nurse for care or services.
Who is required to file community health nurse referral?
Healthcare providers, social workers, schools, and community organizations may be required to file community health nurse referral.
How to fill out community health nurse referral?
Community health nurse referral can be filled out by providing the individual's information, reason for referral, and any relevant medical history.
What is the purpose of community health nurse referral?
The purpose of community health nurse referral is to connect individuals with needed healthcare services and support in the community.
What information must be reported on community health nurse referral?
Information such as individual's name, contact information, medical history, reason for referral, and any relevant details must be reported on community health nurse referral.
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