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Referral Form Telephone: 01622 792200 Email: THO.ClinicalAdminHoKH@nhs.netUrgent (telephone triage within 24hrs)RoutinePlease attach GP summary, hospital discharge & clinic letters, bloods & scan
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How to fill out hokh referral form 19

01
Obtain a copy of the hokh referral form 19 from the appropriate source.
02
Gather all the necessary information that needs to be filled out in the form.
03
Start by entering the patient's personal details such as name, address, and contact information.
04
Provide the patient's medical history including any existing conditions, medications, and allergies.
05
Ensure to accurately describe the reason for the referral and any specific requirements or concerns.
06
Fill out the referring physician's details including name, address, and contact information.
07
Include any supporting documentation or test results that may be relevant for the referral.
08
Review the completed form for any errors or missing information.
09
Sign and date the form to certify its authenticity.
10
Submit the filled-out hokh referral form 19 to the appropriate recipient or healthcare facility.

Who needs hokh referral form 19?

01
Healthcare professionals who require a referral for a patient to access hokh services.
02
Patients who need specialized medical care or further evaluation from hokh or a related facility.
03
Clinics, hospitals, or other healthcare institutions that are referring patients to hokh for specific treatments or services.

What is HoKH Referral '19 Form?

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hokh referral form 19 is a document used to refer individuals to the Housing Options for Persons with HIV/AIDS program.
Healthcare providers, case managers, or social workers may be required to file hokh referral form 19 on behalf of individuals in need.
To fill out hokh referral form 19, provide the individual's personal information, medical history, and justification for the referral.
The purpose of hokh referral form 19 is to assess and provide housing assistance to individuals with HIV/AIDS.
Information such as the individual's diagnosis, medical needs, housing situation, and reasons for referral must be reported on hokh referral form 19.
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