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Feeding and Swallowing Clinic, 3A 1 Hospital Court Oshawa, ON L1G 2B9 Tel: 9055768711 ext. 36390 Fax: 9057217774PEDIATRIC FEEDING AND SWALLOWING CLINIC PREASSESSMENT QUESTIONNAIRE 1.0GENERAL INFORMATION:Name:
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Start by obtaining the referral form from the appropriate organization or healthcare provider in Oshawa.
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Fill in all the required personal information, such as name, contact details, and health history.
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Provide details about the reason for the referral and any specific areas of concern.
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Make sure to include any relevant supporting documentation, such as medical records or test results.
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Double-check the form for accuracy and completeness before submitting it to the designated recipient.

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Individuals in Oshawa who require specialized medical services or consultations from healthcare providers may need referral forms.
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This could include patients seeking treatment from specialists, therapists, or other healthcare professionals who require a referral for insurance coverage or access to certain services.
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Referral forms in Oshawa are documents used to refer individuals to specific services or programs in the community.
Any individual or organization who is referring someone to a service or program in Oshawa may be required to file referral forms.
Referral forms in Oshawa can typically be filled out by providing the necessary information about the individual being referred, the reason for the referral, and any other relevant details.
The purpose of referral forms in Oshawa is to ensure that individuals are connected to the appropriate services or programs that can address their specific needs.
Information that must be reported on referral forms in Oshawa may include the individual's contact information, reason for referral, any relevant medical or social history, and the desired outcome of the referral.
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