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Dr. Jeffrey WinterAustellVicky Bryan MSN, WON, FNPCCantonHiramMariettaWoodstockWOUND CARE REFERRAL
T: 678.626.5426F: 6783915083Patient:___Insurance/Policy # ___Address:___City/State ___ Zip ___Patient
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How to fill out wound care referral v2
How to fill out wound care referral v2
01
Gather patient information including name, date of birth, contact information, and insurance details.
02
Document the wound location, size, depth, appearance, and any drainage or odor present.
03
Include information on the patient's medical history, current medications, and any relevant allergies.
04
Specify the reason for the wound care referral and any specific instructions or concerns for the receiving provider.
05
Submit the completed referral form to the appropriate healthcare provider or facility for further evaluation and treatment.
Who needs wound care referral v2?
01
Patients with chronic or non-healing wounds that require specialized care.
02
Patients with wounds that are at risk for infection or complications.
03
Patients with wounds that have not responded to standard treatment or have underlying medical conditions impacting healing.
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What is wound care referral v2?
Wound care referral v2 is a standardized document used to transfer information about patients needing specialized wound care from primary care providers to specialized wound care facilities.
Who is required to file wound care referral v2?
Healthcare professionals who manage patients with chronic or complex wounds, including primary care physicians, nurse practitioners, and physician assistants, are required to file the wound care referral v2.
How to fill out wound care referral v2?
To fill out wound care referral v2, healthcare providers must complete all required fields, including patient demographics, medical history, details of the wound, and any previous treatments or interventions.
What is the purpose of wound care referral v2?
The purpose of wound care referral v2 is to ensure effective communication between referring providers and wound care specialists, promoting coordinated care and optimal patient outcomes.
What information must be reported on wound care referral v2?
The information that must be reported includes patient identification, wound characteristics (size, type, location), treatment history, and any relevant medical history that may impact wound care.
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