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Intouch's COVID-19 Care GP Referral Form for Intouch COVID-19 Care Service Referral Guidelines Please complete this form and return to: WSLHDICHICCPCOVID19@health.nsw.gov.au Note that sections marked
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How to fill out gp referral form for
How to fill out gp referral form for
01
Obtain the GP referral form from your general practitioner.
02
Fill out your personal information including name, date of birth, address, and contact information.
03
Provide details of your medical history and reason for seeking a referral.
04
Specify the specialist or healthcare provider you are requesting a referral to.
05
Sign and date the form before returning it to your GP for review and processing.
Who needs gp referral form for?
01
Individuals who require specialized medical care beyond the scope of their general practitioner.
02
Patients seeking treatment from a specific specialist or healthcare provider.
03
People seeking insurance coverage for specialized medical services.
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