Get Colposcopy Visit And Referral Form

Completing the Colposcopy Visit And Referral Form online can streamline the process for both practitioners and individuals. This guide will provide you with clear instructions on each section of the form to ensure accurate and efficient submission.

Follow the steps to successfully fill out the Colposcopy Visit And Referral Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in the woman’s details, including the last name, first name(s), date of birth, NHI number, and residential address. Ensure all information is accurate and legible.
3. Provide details on ethnicity by marking the appropriate space for the ethnic group the individual belongs to. This includes options such as New Zealand European, Māori, Samoan, and others.
4. For clinic details, input the clinic number and colposcopist registration number. These are essential for tracking and processing the visit properly.
5. Record the visit date in the specified format. Be sure to verify that this date matches the actual visit date.
6. Select the admission type by indicating whether the visit was an outpatient, day stay, or inpatient appointment. This classification is critical for proper record-keeping.
7. In the visit details section, the colposcopist must complete sections 6.1 through 6.5. Indicate whether a colposcopy was performed and check the relevant options for the colposcopic appearance, transformation zone visibility, and actions taken during the visit.
8. For recommended follow-up, complete sections 7.1 and 7.2 after results are available. This includes specifying who the follow-up should be with and the recommended follow-up timeframe.
9. Once all sections have been completed, review the form for accuracy, making any necessary edits.
10. Finally, share or print the completed form as required. You can also send it to the NCSP Register Central Team at the provided postal address or fax number.

Start filling out the Colposcopy Visit And Referral Form online today to expedite your medical process.