Get Chain Referral And Clinical Handover Form

Completing the CHAIN Referral and Clinical Handover Form online is essential for ensuring seamless communication in health services. This guide will provide you with step-by-step instructions to fill out the form accurately and efficiently.

Follow the steps to complete the form online.

1. Click ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Fill in the referral date and the date the client is ready for care at the top of the form, ensuring these dates are accurate to avoid delays.
3. Enter the Medical Record Number (MRN) and contact details, including telephone and fax numbers, in the designated sections.
4. Provide the referrer details by entering your full name, pager number, and indicating if referring from a service (yes, no, or unknown).
5. Complete the client details section, including title, family name, first name, sex, and date of birth. If applicable, include an estimated date of birth.
6. Input the Medicare number and any health insurance information, ensuring to list the expiry date of health insurance and any relevant claim numbers.
7. Describe the living situation of the client, either by checking if they live alone or with others, and fill in the residential address details including street, suburb, and postcode.
8. List the responsible doctor for care and review, including their name and contact information. Be sure to note any specialist or general practitioner involved.
9. Indicate if the client is aware of the referral to the service and complete the checklist for original community health documentation sent home with the client.
10. Document the client's diagnosis or history, reasons for referral, allergies, and current services in the appropriate sections.
11. Complete the risk assessment section to ensure safety for staff and address any relevant issues pertaining to the client.
12. Once all sections are filled out, review the form for accuracy. You can then save changes, download, print, or share the completed form as needed.

Complete your documents online today for faster and more efficient healthcare communication.