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Queensland Pelvic Mesh ServiceGeneral Practitioner Referral Attention Queensland Pelvic Mesh Service Dr Malcolm Fraser Varsity Lakes Day Hospital, 2 Lake Street, Varsity Lakes QLD 4227 Phone: 07 5619
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01
Obtain a copy of the qpms referral form.
02
Fill in the date of the referral at the top of the form.
03
Provide the patient's personal information including name, address, and date of birth.
04
Indicate the reason for the referral in the designated section.
05
Provide relevant medical history and any previous treatment details related to the referral.
06
Include information about the referring practitioner such as name, contact information, and professional credentials.
07
Specify any urgency or particular needs regarding the referral.
08
Review the completed form for accuracy and completeness.
09
Submit the referral form to the appropriate department or individual.

Who needs qpms referral form?

01
Healthcare professionals referring patients for specialized treatments.
02
Patients needing additional medical evaluations or services.
03
Administrative staff processing patient referrals in healthcare facilities.
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The qpms referral form is a designated document used for the submission of referrals regarding quality and performance management systems in healthcare and other related fields.
Healthcare providers, institutions, and any entities involved in the management of quality performance are required to file the qpms referral form.
To fill out the qpms referral form, users should follow the instructions provided on the form, ensuring all required fields are completed accurately, including relevant details about the referral and the parties involved.
The purpose of the qpms referral form is to ensure consistency and accuracy in the submission of data related to quality and performance management, facilitating better oversight and improvement in healthcare services.
The qpms referral form must report information such as the referral details, patient information, healthcare provider information, and any observations or outcomes related to quality performance.
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