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CAF003.02 INTAKE NEW CLIENT REFERRAL FORM: FOR REHAB HOSPITAL DISCHARGEPlease fill out and return this referral form and the Intake team will be in contact with you as soon as possible.email: intake@stepstherapy.com.au
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How to fill out hospital discharge referral template

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How to fill out hospital discharge referral form

01
Obtain the hospital discharge referral form from the hospital or healthcare provider.
02
Fill out all the patient's personal information including name, date of birth, address, and contact details.
03
Provide details of the referring healthcare provider including their name, contact information, and reason for the referral.
04
Include the patient's medical history, diagnosis, and treatment plan.
05
Sign and date the form before submitting it back to the hospital or healthcare provider.

Who needs hospital discharge referral form?

01
Patients who are being discharged from a hospital and require follow-up care or services.
02
Healthcare providers who are referring patients to other healthcare facilities or specialists for further treatment.

What is Hospital Discharge Referral . Form?

The Hospital Discharge Referral . is a document that should be submitted to the specific address to provide specific information. It must be filled-out and signed, which can be done manually in hard copy, or with the help of a certain solution e. g. PDFfiller. This tool allows to fill out any PDF or Word document directly from your browser (no software requred), customize it depending on your purposes and put a legally-binding electronic signature. Right after completion, the user can easily send the Hospital Discharge Referral . to the relevant person, or multiple individuals via email or fax. The template is printable as well from PDFfiller feature and options presented for printing out adjustment. Both in electronic and physical appearance, your form should have a clean and professional appearance. Also you can save it as the template to use it later, without creating a new file from the beginning. Just amend the ready sample.

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A hospital discharge referral form is a document used to provide information about a patient's hospitalization and the necessary follow-up care after discharge.
Typically, healthcare professionals such as doctors or discharge planners are required to file the hospital discharge referral form.
To fill out a hospital discharge referral form, a healthcare professional must complete sections that outline the patient's medical history, discharge medications, follow-up appointments, and any necessary referrals to specialists.
The purpose of the hospital discharge referral form is to ensure continuity of care by providing essential information to healthcare providers who will manage the patient's care post-discharge.
The form must report information such as patient demographics, diagnosis, treatment received during hospitalization, medications, follow-up care instructions, and referral details.
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