Get Generic Referral Form, Service Directory, Royal Brisbane And ... - Health Qld Gov

Filling out the Generic Referral Form is an essential step for patients seeking medical services. This guide provides clear instructions to help users complete the form accurately and efficiently.

Follow the steps to effectively complete the form.

1. Click ‘Get Form’ button to access the Generic Referral Form.
2. Enter the referring doctor's details. This includes the doctor's name, provider number, address, phone, fax, and email. Ensure accurate information for effective communication.
3. If applicable, provide information about the patient's usual doctor, if different from the referring doctor. Specify the referral type, either public or private.
4. Fill in the patient details, including the surname, first name, address, date of birth, and phone numbers. Ensure all contact information is up-to-date.
5. Indicate whether an interpreter is required by selecting 'Yes' or 'No' and specify the language if necessary.
6. Detail the patient’s coverage, such as Workcover, DVA, HACC, or private health fund, including the name and expiry date if applicable.
7. Provide details about the last previous hospital admission, including the date and reason for that admission.
8. Assign a priority level for the referral by marking the appropriate option (urgent, semi-urgent, or routine).
9. Complete the reason for referral or provisional diagnosis section. This section is crucial for determining the appropriate care required.
10. Select the referral destination by placing an 'X' against the appropriate options such as Emergency Department, Outpatients Department, and other specialist areas.
11. Provide relevant medical history, including social history, family history, medication list, allergies, and immunisation history to support the referral.
12. If available, attach recent relevant investigations or indicate the latest entries from pathology, biochemistry, or radiology.
13. Sign the form and date it to validate the referral before submission.
14. Once all the fields are completed accurately, save changes, download, print, or share the form as needed.

Complete your Generic Referral Form online today to ensure timely medical assistance.