Get Rcat Calgary

This guide provides comprehensive instructions on how to accurately fill out the Rcat Calgary form online. It is designed to assist users of varying legal backgrounds to navigate the form efficiently.

Follow the steps to successfully complete the Rcat Calgary form.

1. Press the ‘Get Form’ button to access the form and open it in the editor.
2. Start by entering your details in the 'Form Completed By' section, including your contact phone number and the referral location by selecting one of the options provided.
3. Fill in the 'Referral Date' using the format yyyy-Mon-dd. Ensure to do this accurately as it is important for tracking purposes.
4. The referring Hospitalist or Attending Physician must sign the form. Include their printed name, phone number, and confirm the medical evaluation date, which must be within three months of the capacity assessment.
5. Complete the 'Client’s Name,' 'Date of Birth,' and 'PHN' fields, ensuring that all personal identification information is accurate and complete.
6. Indicate the client’s gender and provide their address and postal code, as well as their phone number.
7. Document the date of the current admission and specify the reason for current admission.
8. Provide information about the family or personal contact, including their relationship to the client and their phone number.
9. Record the family physician’s details, including their phone number, and indicate the marital status of the client.
10. If applicable, indicate whether a translator is required and specify what language is needed.
11. Fill out the 'Primary Medical Diagnoses' section, listing relevant diagnoses in the numbered spaces provided.
12. Specify the areas of personal and financial capacity that are in question based on documented evidence, including clear descriptions of the circumstances.
13. Indicate the referring physician’s determination regarding the patient’s capacity and if there has been a previous determination of lacking capacity.
14. Confirm whether a second opinion has been obtained and summarize the opinion regarding the patient’s capacity.
15. Indicate the existence of a personal directive and an enduring power of attorney while including the most recent MMSE and MOCA scores if available.
16. Ensure the patient is aware of the referral to RCAT by marking the appropriate box.
17. Attach all required documents, including a list of current medications, specific assessments, neuroimaging reports, laboratory results, and any relevant progress notes.
18. Once all sections are complete, save your changes, and consider downloading, printing, or sharing the completed form as needed.

Complete your documents online with confidence by following these steps.