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Pan London COVID-19 Suspected Breast Cancer/Breast Clinic Referral FormREFERRALDATE:Referral is the preferred booking method for suspected breast cancer/breast symptoms referrals. All referrals should
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How to fill out breast symptomatic referrals

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How to fill out breast symptomatic referrals

01
Obtain the referral form from the healthcare provider or hospital.
02
Fill out the patient's personal information such as name, date of birth, address, and contact details.
03
Provide a brief history of the patient's symptoms and any relevant medical history.
04
Include details of any relevant tests or imaging studies that have already been done.
05
Specify the reason for the referral and any specific concerns or questions you have.
06
Sign and date the referral form before submitting it to the appropriate healthcare provider.

Who needs breast symptomatic referrals?

01
Patients who have symptoms of breast cancer or other breast-related medical conditions.
02
Healthcare providers who have determined that further evaluation or imaging studies are necessary for a patient with breast symptoms.

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Breast symptomatic referrals are assessments or requests made by healthcare professionals for patients showing signs or symptoms related to breast conditions, to ensure timely diagnosis and management of potential breast issues.
Healthcare professionals, such as doctors and specialists who identify symptoms that warrant further examination, are required to file breast symptomatic referrals.
Breast symptomatic referrals should be filled out by providing patient details, symptoms observed, medical history, and any relevant imaging or examination findings, ensuring that all required fields are accurately completed.
The purpose of breast symptomatic referrals is to facilitate early diagnosis and treatment of breast conditions, ensuring that patients receive appropriate care based on their symptoms.
Information that must be reported includes the patient's personal details, symptoms, clinical findings, medical history, and any previous investigations related to the breast issue.
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