Get Division Order Template

Filling out the Division Order Template is an essential task for managing your digital documents effectively. This guide provides a step-by-step approach to ensure you complete the template accurately and efficiently.

Follow the steps to accurately complete the Division Order Template.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by entering the patient details in the designated fields. Include the full name, address, contact phone number, National Health Index (NHI) number, General Practitioner (GP) details, iwi, date of birth (D.O.B), ethnicity, gender, GP clinic, hapu, and the relationship/contact person.
3. For the referrer section, provide the name, position, organization, phone number, fax number, and email of the individual making the referral.
4. Indicate the reason for referral by ticking one or more relevant options such as weight reduction and cardiovascular disease (CVD).
5. In the prompts section, record important biochemistry data including weight, height, Body Mass Index (BMI), waist circumference, lipid profile, CVD risk assessment results, and blood pressure.
6. Detail the patient's medical history by indicating any active medical problems, previous biochemical results, and current diabetes therapy—selecting the applicable options and providing any necessary details.
7. Verify if the Dietitian Assessment Report (DAR) has been completed in the past year by ticking 'Yes,' 'No,' or 'Unsure/Data not available,' and include recent HbA1c or blood glucose readings as required.
8. Complete any additional information required in the 'Other' section by stating the specifics.
9. After filling out the form, review all entries for accuracy and completeness. Once satisfied, save your changes, and choose to download, print, or share the completed form as needed.

Complete your Division Order Template online today to ensure efficient document management.