Get Ccac Toronto Referral Forms

Completing the Ccac Toronto Referral Forms online can streamline the process of obtaining essential services. This guide provides detailed instructions tailored to ensure a smooth and efficient experience for all users, regardless of their familiarity with legal documents.

Follow the steps to accurately complete the referral forms.

1. Press the ‘Get Form’ button to access the referral form and open it in your editing tool.
2. Begin with the date field. Enter the current date in the format: day, month, and year.
3. Complete the client information section. Include the client's full name, address, and telephone numbers, ensuring all fields are accurately filled.
4. Provide the Ontario Health Card number and the date of birth in the specified fields.
5. In the primary contact section, enter the name and contact number of the person to be reached for further information.
6. Input the primary diagnosis and the reason for the referral, being as specific as possible.
7. Indicate the urgency of the request by selecting one of the options: same day, next day, or non-urgent.
8. Proceed to the physician information section. Fill in the relevant data for both the referring and attending physician, including their names, addresses, and contact numbers.
9. Collect the signatures of both physicians and ensure the date of signing is included.
10. Review the eligibility for direct services and verify the presence of a valid OHIP card and assessment by a CCAC health care professional.
11. Complete the community medical referral section with the patient's surname, first name, and OHIP number.
12. Fill in the medical information, including primary and secondary diagnoses, prognosis, relevant medical history, and any medications prescribed.
13. Indicate the requested services and any orders or contraindications necessary for treatment.
14. Finalize the form by checking for completeness and accuracy. Save any changes, and then download, print, or share the form as needed.

Now that you have the information needed, start filling out the Ccac Toronto Referral Forms online today.