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Name:North Bay Regional Health Center Anticoagulation Clinic Referral sheet DOB: HAN: Phone: Alternate phone: J#:Start date: ___ Stop date: ___ Allergies___ Reason for oral anticoagulant treatment:
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What is anticoagulation clinic referral sheet?
The anticoagulation clinic referral sheet is a document used by healthcare providers to refer patients to anticoagulation management services, ensuring appropriate monitoring and management of patients on anticoagulant medications.
Who is required to file anticoagulation clinic referral sheet?
Healthcare providers who prescribe anticoagulant therapy to patients are required to file the anticoagulation clinic referral sheet to facilitate effective patient management.
How to fill out anticoagulation clinic referral sheet?
To fill out the anticoagulation clinic referral sheet, the healthcare provider must enter patient demographics, medical history, current medications, indication for anticoagulation, and any relevant laboratory results.
What is the purpose of anticoagulation clinic referral sheet?
The purpose of the anticoagulation clinic referral sheet is to streamline the referral process, enhance communication between providers, and ensure that patients receive appropriate anticoagulation therapy management.
What information must be reported on anticoagulation clinic referral sheet?
The information that must be reported includes the patient's name, contact information, date of birth, medication history, reason for anticoagulation therapy, and any specific instructions or information relevant to patient care.
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