Get the free Public Health Nursing Referral Form. Referral Form
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Alameda County Health Care Services Agency
Public Health Nursing Referral Form1100 San Leandro Blvd, San Leandro, CA 94577
Eligibility Unit: (510) 5777080
FAX: (510) 3835060 Alternate FAX: (510) 2733962
REFERRAL
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How to fill out public health nursing referral
How to fill out public health nursing referral
01
Contact your local public health department to inquire about the referral process
02
Provide necessary information such as personal details, medical history, and reason for seeking public health nursing services
03
Attend any required assessments or evaluations
04
Work with the public health nursing team to create a care plan tailored to your needs
Who needs public health nursing referral?
01
Individuals with chronic health conditions requiring ongoing medical management
02
Patients in need of post-hospital discharge care
03
Individuals requiring skilled nursing services in their homes
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What is public health nursing referral?
Public health nursing referral is a process by which health care providers or community members notify public health nursing services about individuals or groups who may need public health support or interventions.
Who is required to file public health nursing referral?
Health care providers, social service agencies, educators, and sometimes community members are required to file public health nursing referrals when they identify individuals who may benefit from public health interventions.
How to fill out public health nursing referral?
To fill out a public health nursing referral, one typically needs to provide information such as the individual's personal details, the reason for referral, specific health concerns, and any previous relevant history.
What is the purpose of public health nursing referral?
The purpose of public health nursing referral is to ensure individuals receive necessary health services, improve community health outcomes, and promote preventive care.
What information must be reported on public health nursing referral?
The information that must be reported includes the individual's name, date of birth, contact information, reason for referral, and any pertinent medical or social history.
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