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Hyperbaric Oxygen and Wound Healing Center Referral Form Upon discharge, please utilize form to refer patients that need to follow up wound care Patient Name: Phone: Insurance: PCP: Referring Physician:
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How to fill out sjhc-hbo-referral-form
How to fill out sjhc-hbo-referral-form
01
Obtain a copy of the sjhc-hbo-referral-form from the St. Joseph's Health Care website or from a healthcare provider at the hospital.
02
Fill out the patient information section with accurate and up-to-date details.
03
Provide information about the reason for referral and any relevant medical history.
04
Include contact information for the referring healthcare provider.
05
Submit the completed form to the appropriate department at St. Joseph's Health Care for processing.
Who needs sjhc-hbo-referral-form?
01
Patients who require hyperbaric oxygen therapy (HBO) treatment may need to fill out the sjhc-hbo-referral-form.
02
Healthcare providers referring patients for HBO treatment will also need to complete this form.
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What is sjhc-hbo-referral-form?
The sjhc-hbo-referral-form is a form that needs to be filled out to refer patients to St. Joseph's Health Centre in Hamilton, Ontario.
Who is required to file sjhc-hbo-referral-form?
Healthcare providers and physicians are required to file the sjhc-hbo-referral-form when referring patients to St. Joseph's Health Centre.
How to fill out sjhc-hbo-referral-form?
The sjhc-hbo-referral-form can be filled out online on the St. Joseph's Health Centre website or through the hospital's electronic medical records system.
What is the purpose of sjhc-hbo-referral-form?
The purpose of the sjhc-hbo-referral-form is to streamline the referral process and ensure that all necessary information is provided for the patient's care.
What information must be reported on sjhc-hbo-referral-form?
The sjhc-hbo-referral-form requires information such as patient demographics, medical history, reason for referral, and any relevant test results.
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