Get National Pigmented Lesion Referral Form

The National Pigmented Lesion Referral Form is a crucial document for referring patients with suspected melanoma to specialists. This guide provides clear, step-by-step instructions for completing the form online to ensure accurate and timely referrals.

Follow the steps to complete the National Pigmented Lesion Referral Form online

1. Click ‘Get Form’ button to access the National Pigmented Lesion Referral Form and open it in your preferred document editor.
2. Input the general practitioner details in the designated fields, including the GP's name, contact information, and Medical Council Registration Number.
3. Provide the patient's details by entering their name, date of birth, address, and contact numbers. Ensure the information is accurate for effective communication.
4. Indicate whether an interpreter is required and specify if wheelchair assistance is necessary for the patient.
5. Fill in the date of referral and check the appropriate boxes under the referral information section to specify if the lesion is pigmented and the nature of the concern.
6. Detail the patient's symptoms by indicating the duration and specifying any melanoma characteristics using the ABCDE lesion system.
7. Include any relevant past medical history of the patient, particularly concerning anticoagulants and allergies.
8. Once all sections are completed, review the information for accuracy. You can save your changes, download, print, or share the completed form as needed.

Ensure timely patient referrals by completing the National Pigmented Lesion Referral Form online today.