Get Gf Strong Referral

Filling out the Gf Strong Referral form online can be a straightforward process when you have clear guidance. This guide will walk you through each section of the form, ensuring you provide all necessary information accurately and efficiently.

Follow the steps to complete the referral form online:

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the client demographics. Fill in the client's full name, date of birth, and gender by selecting the appropriate option.
3. Provide the home address, including street number, street name, city, and postal code. Then, enter the home or cell telephone number, and the personal health number (PHN).
4. Enter the referring physician or nurse practitioner's name, along with contact numbers and fax number. Include the family physician's information as well.
5. Indicate the primary contact for scheduling appointments and their relationship to the client. Include an alternate contact if applicable, with their phone numbers.
6. Indicate if an interpreter is required and specify the language if yes. Also, note if the injury is work-related or due to a motor vehicle accident, including any claim numbers.
7. In the medical and physical status section, note the primary diagnosis and the date of onset. Include any other medical conditions and infection control information if relevant.
8. Address any mental health issues and substance use by marking the appropriate options and providing comments where necessary.
9. List current medications and any known allergies. Additionally, record weight-bearing restrictions and any history of falls.
10. Document any previous rehabilitation experiences and attach comments as needed. Also, indicate whether therapy services have been explored in the client's health region.
11. Finally, state the client's rehabilitation goals clearly and provide the physician or nurse practitioner's signature and date.
12. After completing the form, review your entries for accuracy. You can then save the changes, download a copy, print, or share the form as needed.

Complete your Gf Strong Referral form online today to ensure timely processing and support.