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Complete and submit the Manitoba HIV Program Referral Form for patients testing positive for HIV. Include patient and provider information as per the guidelines provided. Ensure prompt referral to the MB HIV Program for necessary care and treatment. Updated as of April 2024.
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How to fill out manitoba hiv program referral

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How to fill out manitoba hiv program referral

01
Obtain a Manitoba HIV Program Referral form from a healthcare provider or HIV clinic.
02
Fill out the form completely with accurate information about the client's demographics, medical history, and reason for referral.
03
Provide any supporting documents or test results that may be required for the referral.
04
Submit the completed form to the Manitoba HIV Program either in person, by mail, or fax as instructed on the form.
05
Follow up with the healthcare provider or HIV clinic to ensure the referral was received and processed.

Who needs manitoba hiv program referral?

01
Individuals who have been diagnosed with HIV and reside in Manitoba.
02
Individuals who have been exposed to HIV and require testing, treatment, or support services.
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Manitoba HIV Program Referral is a process where healthcare providers refer patients to the Manitoba HIV Program for specialized care and treatment.
Healthcare providers are required to file Manitoba HIV Program Referral for patients who need HIV care and treatment.
To fill out Manitoba HIV Program Referral, healthcare providers need to complete the referral form with the patient's information and medical history.
The purpose of Manitoba HIV Program Referral is to ensure that patients living with HIV receive appropriate care, treatment, and support from specialized healthcare providers.
Information such as patient demographics, medical history, current medications, and reason for referral must be reported on Manitoba HIV Program Referral.
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