Loading
Get Ataps Referral Form
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Ataps Referral Form online
Completing the Ataps Referral Form online is a straightforward process that facilitates the referral of your patient into the WentWest ATAPS Program. This guide will provide you with step-by-step instructions on how to accurately fill out each section of the form, ensuring a smooth referral experience.
Follow the steps to successfully complete the Ataps Referral Form.
- Press the ‘Get Form’ button to access the Ataps Referral Form and open it in your preferred document editor.
- Begin by entering the general practitioner’s (GP) name and postcode in the designated fields. This identifies the referring health professional.
- Fill in the name of the allied health professional (AHP) you are referring the patient to and the referral date.
- Next, enter the patient's name, postcode, and year of birth. Accurate patient details are crucial for processing the referral.
- Select the referral type from the provided options. Indicate any languages spoken other than English and the patient’s English proficiency level.
- Specify the patient’s education level and whether they identify as Aboriginal or Torres Strait Islander. This information is important for tailored support.
- Answer the questions regarding the patient’s living situation, income status, and past mental health care, using the checkboxes provided.
- Indicate the patient's gender and whether this is a re-referral, along with selecting any relevant outcome tools.
- In the ICD-10 primary diagnostic categories section, tick all applicable disorders. This aids in understanding the patient's needs.
- For the strategies the patient is referred for, check all that apply, providing a comprehensive view of the intended care approach.
- Include any additional comments or specific request details as needed.
- Once all sections are complete, review the information for accuracy. You can then save the changes, download the completed form, print a copy, or share it as needed.
Take the next step in supporting your patient by completing the Ataps Referral Form online today.
Creating a referral form can be straightforward. Start with a clear structure that includes fields for patient information, referring physician details, and a section for the referral reason. You can use the Ataps Referral Form as a template, ensuring it contains all essential elements for smooth referrals.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.