Get the free Orthopaedics Referral Form

This document is an urgent referral form for patients needing orthopaedic care at Scarborough Health Network. It outlines the necessary information for referring physicians, including patient details, reason for referral, diagnostic imaging requirements, and instructions for submitting the referral. The form emphasizes that it is for urgent referrals only and provides guidelines for handling specific cases, such as hand fractures.

How to fill out orthopaedics referral form

How to fill out orthopaedics referral form

1. Obtain the orthopaedics referral form from the relevant healthcare provider.
2. Fill in the patient's personal details, including full name, date of birth, and contact information.
3. Provide a detailed medical history, including any previous injuries or surgeries related to the musculoskeletal system.
4. Specify the reason for the referral, including symptoms and duration of the problem.
5. List any relevant examinations or diagnostic tests that have been performed.
6. Include any current medications being taken by the patient.
7. Provide the referring doctor's contact information and signature.
8. Submit the completed form to the orthopaedic specialist's office.

Who needs orthopaedics referral form?

1. Patients experiencing persistent joint, muscle, or bone pain.
2. Individuals with sports injuries that require specialist assessment.
3. Patients with suspected fractures or dislocations.
4. Individuals needing pre-operative evaluations for orthopaedic surgery.
5. Patients with chronic conditions such as arthritis that require management from specialists.

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What is orthopaedics referral form?

An orthopaedics referral form is a document used by healthcare providers to refer patients to an orthopaedic specialist for further evaluation and treatment of musculoskeletal conditions.

Who is required to file orthopaedics referral form?

Typically, primary care physicians or other healthcare providers who identify the need for specialised orthopaedic care are required to file the orthopaedics referral form.

How to fill out orthopaedics referral form?

To fill out an orthopaedics referral form, the referring provider must include patient details, medical history, current symptoms, relevant imaging or test results, and the specific reason for the referral.

What is the purpose of orthopaedics referral form?

The purpose of the orthopaedics referral form is to provide orthopaedic specialists with essential information about the patient to facilitate appropriate evaluation and treatment for musculoskeletal issues.

What information must be reported on orthopaedics referral form?

The orthopaedics referral form must report patient demographics, referral source, medical history, current symptoms, examination findings, relevant diagnostic images, and any previous treatments related to the condition.