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Long COVID-19 Assessment Service Referral Form Please send completed form to: cddft.longcovidteam@nhs.net Date of GP decision to refer:No. Of pages sent:Senders Email:This referral is also available
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How to fill out long covid assessment service

01
Start by accessing the long covid assessment service website or platform.
02
Provide necessary personal information, such as name, age, and contact details.
03
Answer questions about your current health condition and symptoms related to long covid.
04
Submit any relevant medical reports or documentation as requested.
05
Follow any additional instructions provided by the service for completing the assessment.

Who needs long covid assessment service?

01
Individuals who are experiencing persistent symptoms after contracting COVID-19 may need a long covid assessment service.
02
Patients who have been diagnosed with long covid by their healthcare provider and require ongoing monitoring and treatment.
03
People with long-term health complications following a COVID-19 infection who need specialized care and support.
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The long covid assessment service is a specialized healthcare service aimed at evaluating and managing the ongoing symptoms and health issues that individuals may experience after recovering from COVID-19.
Individuals who have experienced long-term effects from COVID-19 and are seeking medical assessment and support to manage their symptoms are required to file for the long covid assessment service.
To fill out the long covid assessment service, patients typically need to complete a standardized assessment form that includes personal information, medical history, current symptoms, and other relevant health details.
The purpose of the long covid assessment service is to provide healthcare professionals with the necessary information to diagnose, treat, and support individuals experiencing post-COVID conditions effectively.
Information that must be reported includes the patient's personal details, any previous COVID-19 diagnosis, a list of current symptoms, and any pre-existing medical conditions.
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