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330507 West Broadway Avenue Vancouver, BC V5Z 1E6 t 604.872.5484 f 604.708.0748 www.crossroadsobgyn.caREFERRAL FORM GYNECOLOGY Your office will be informed of appointment date and time. FAX TO 604.708.0748
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How to fill out referral formgynaecology

01
Obtain a referral form for gynaecology from your primary care physician or healthcare provider.
02
Fill out the required information such as your personal details, medical history, reason for referral, and any relevant test results.
03
Make sure to include any additional information or documentation that may be needed for the referral process.
04
Submit the completed referral form to the gynaecology department or specialist as instructed by your healthcare provider.
05
Follow up with the gynaecologist's office to confirm that they have received the referral and to schedule an appointment.

Who needs referral formgynaecology?

01
Individuals who are experiencing gynaecological issues such as abnormal bleeding, pelvic pain, menstrual disorders, infertility, or any other concerns related to the female reproductive system.
02
Those who have been advised by their primary care physician or healthcare provider to seek further evaluation and treatment from a gynaecologist.
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Referral formgynaecology is a form used to refer a patient to a gynaecologist for further evaluation and treatment.
Referral formgynaecology is typically filed by a primary care physician or healthcare provider who believes a patient requires specialized gynaecological care.
Referral formgynaecology should include patient information, reason for referral, medical history, and any relevant test results.
The purpose of referral formgynaecology is to ensure that patients receive appropriate care from a gynaecologist for their specific gynaecological concerns.
Information such as patient demographics, reason for referral, relevant medical history, and any additional notes should be included on referral formgynaecology.
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