Get X-ray Referral Form - Inhealthgroup.com

Completing the X-ray referral form online is a straightforward process that ensures your referral is processed efficiently. This guide will walk you through each section of the form, providing clear instructions to help you fill it out correctly.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to access the X-ray referral form and open it in the online editor.
2. In the 'Patient' section, enter the patient's NHS number, forename, surname, and address. Ensure that all details are accurate to avoid any delays.
3. Proceed to the 'Referrer' section where you will input the name of the referrer, their GMC/HPC/NMC number, and address.
4. Fill in the patient's date of birth and telephone numbers, including home and work numbers. Add a mobile number and email address for direct communication.
5. Select the referring PCT code and practice code. Fill in the telephone number for urgent clinical findings if applicable.
6. Indicate the patient's gender, and if applicable, provide details about physical or communication difficulties.
7. Answer whether the patient is eligible for NHS funded transport and if they are a wheelchair user. If an interpreter is required, specify the language.
8. Input the patient's ethnicity as required.
9. In the 'Presenting complaint & provisional diagnosis' section, provide comprehensive clinical information to guide appropriate investigation.
10. Enter the date of referral and ensure the referrer’s signature is included to comply with IR(ME)R regulations.
11. In the 'Investigation(s) Required' section, tick the appropriate boxes for the required X-ray examinations, specifying the side where necessary.
12. For female patients of child-bearing capacity, indicate the possibility of pregnancy and include the date of the last menstrual period.
13. Once all sections are complete, review the information for accuracy. You can then save your changes, download, print, or share the form as needed.

Complete your X-ray referral form online today to ensure timely processing.