Get Referral Outpatient Clinic M2bb 1010doc - Schn Health Nsw Gov

The Referral Outpatient Clinic M2BB 1010doc is a crucial document for initiating referrals within health services. This guide provides step-by-step instructions to help you accurately complete the form online and ensure all necessary information is provided.

Follow the steps to fill out the Referral Outpatient Clinic M2BB 1010doc online.

1. Select the ‘Get Form’ button to access the document and open it in your preferred online editor.
2. Begin by entering the patient’s details in the designated fields: surname, given names, date of birth, and sex.
3. Provide the patient's complete address and their preferred contact information, including mobile and other phone numbers.
4. Indicate the language spoken at home and whether an interpreter is required by checking the appropriate box.
5. Fill in the referring doctor's details, including surname, given name, provider number, and related contact information.
6. In the section for clinical details, specify the consultant's name and the required clinic information.
7. Clearly articulate the reason for referral or diagnosis, and include any relevant past medical history.
8. Document any pertinent medications, pathology, or imaging results that should accompany the referral.
9. Choose the assessment of priority for the referral from the available options.
10. Select the desired referral duration, such as 3 months, 12 months, or other specified periods.
11. Lastly, ensure to provide the referring doctor's signature and date, and choose the preferred contact method for further communication.
12. Once all required fields are completed, you can save changes, download, print, or share the form as needed.

Ensure you complete your documents online to streamline the referral process.