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Unit Record No. ___ANTENATAL REFERRAL Fax number: (07) 3163 8053Surname___Given Names___DOB___ Sex ___ AFFIX PATIENT IDENTIFICATION LABEL HEREPatient Details Surname:Given name(s):Date of birth:Home
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How to fill out antenatal referral

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How to fill out antenatal referral

01
Gather the patient's personal information including name, age, and contact details.
02
Record the patient's medical history, including any previous pregnancies and health conditions.
03
Document current pregnancy details such as estimated due date and any complications.
04
Select the appropriate referral level based on the patient's needs (e.g., obstetrician, midwife, etc.).
05
Provide any necessary test results, such as blood work or imaging studies, that may be relevant.
06
Include a clear reason for the referral, specifying any concerns or required follow-up.
07
Ensure that the patient understands the referral process and any next steps.
08
Submit the referral to the designated healthcare provider or facility.

Who needs antenatal referral?

01
Pregnant women with pre-existing medical conditions.
02
Women experiencing complications during pregnancy.
03
Patients requiring specialized care such as high-risk obstetrics.
04
Individuals with a history of pregnancy-related issues.
05
Women needing psychological support during pregnancy.
06
Patients seeking evaluation for prenatal genetic counseling.
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Antenatal referral is the process of directing a pregnant woman from one healthcare provider to another to ensure she receives appropriate care and management during her pregnancy.
Healthcare providers such as obstetricians, midwives, or general practitioners who are responsible for the prenatal care of a pregnant woman are required to file antenatal referrals.
To fill out an antenatal referral, a healthcare provider needs to provide patient details, including name, contact information, health history, the reason for referral, and any pertinent medical information.
The purpose of antenatal referral is to ensure that pregnant women receive specialized care and monitoring, especially if they have complications or require further assessments.
Information that must be reported includes patient identification information, medical history, current pregnancy details, specific concerns, and recommendations for further care.
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