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PRIORITY ALLIED HEALTH REFERRAL FORM Priority Allied Health Services Program (PAHS) Updated 02Apr2024 Eastern Referral FormPATIENT ELIGIBILITY Who is eligible to be referred to providers under PAHS?
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How to fill out referral-form-pahs-action-diabetes
How to fill out referral-form-pahs-action-diabetes
01
Obtain the referral form for PAHS Action Diabetes.
02
Fill in the patient's name, contact information, and any relevant medical history.
03
Provide details of the referring healthcare provider and their contact information.
04
Include any specific reasons for the referral and any supporting documentation.
05
Review the form for accuracy and completeness before submitting it.
Who needs referral-form-pahs-action-diabetes?
01
Individuals who have been diagnosed with diabetes and require specialized care or management.
02
Healthcare providers who believe that a patient would benefit from the services offered by PAHS Action Diabetes.
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What is referral-form-pahs-action-diabetes?
The referral-form-pahs-action-diabetes is a document used to refer patients for care and management related to diabetes under the Pahs (Patient Assistance and Health Support) program.
Who is required to file referral-form-pahs-action-diabetes?
Healthcare providers and professionals who manage diabetes patients must file the referral-form-pahs-action-diabetes to ensure the proper coordination of care.
How to fill out referral-form-pahs-action-diabetes?
To fill out the referral-form-pahs-action-diabetes, healthcare providers should provide patient identification details, medical history related to diabetes, treatment needs, and any other relevant information as instructed on the form.
What is the purpose of referral-form-pahs-action-diabetes?
The purpose of the referral-form-pahs-action-diabetes is to facilitate access to specialized diabetes care, streamline communication between healthcare providers, and ensure that patients receive appropriate support and resources.
What information must be reported on referral-form-pahs-action-diabetes?
Mandatory information includes patient demographics, medical history, current diabetes management plan, specific referral needs, and contact information for both the referring provider and the patient.
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