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46 General Hospital Drive Stratford, ON N5A 2Y6 5192728210 ext. 2299Patient Name: Address: DOB:Age:Health Card #: Telephone:STROKE PREVENTION CLINIC REFERRAL FORM Date of Event (TIA or MINOR STROKE):Alternate
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Upon arrival, visit the triage desk to check in and provide your personal information.
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Once called back, follow the instructions given by the medical staff and provide any necessary medical history or current symptoms.
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Complete any required paperwork or consent forms as directed by the staff.
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Cooperate with any tests or evaluations that the medical team deems necessary.
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Follow the discharge instructions provided by the medical staff upon completion of your visit.

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Anyone experiencing a medical emergency or requiring urgent medical attention should visit the emergency department at Stratford.
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Emergency department - stratford is a facility that provides immediate medical treatment to patients who are experiencing a sudden illness or injury.
All medical facilities that have an emergency department in Stratford are required to file emergency department reports.
To fill out the emergency department - stratford report, medical personnel need to document the details of each patient seen in the emergency department.
The purpose of the emergency department - stratford is to provide timely and efficient medical care to individuals in need of immediate attention.
Information such as patient demographics, reason for visit, treatment provided, and outcome must be reported on emergency department - stratford.
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