Get E-stroke Rehab Referral Standardized Assessment And Referral Form Outpatient Rehab

Filling out the E-Stroke Rehab Referral Standardized Assessment And Referral Form Outpatient Rehab online is essential for facilitating a seamless transition from acute care to outpatient rehabilitation. This guide provides clear, step-by-step instructions to help users complete each section of the form accurately and effectively.

Follow the steps to complete the E-Stroke Rehab referral form.

1. Click the ‘Get Form’ button to access the E-Stroke Rehab Referral Standardized Assessment And Referral Form Outpatient Rehab and open it in your preferred online editor.
2. Begin with the Patient Registration section. Enter the patient's first and last name, gender, date of birth, and health card number. Ensure that the health card number includes the issuing province or territory.
3. Proceed to the Demographics section. Provide the patient's home address, postal code, home telephone number, alternate contact phone number, family's physician's name and contact information, and the primary language spoken. Fill in additional details such as premorbid vocational status and educational level.
4. In the Acute Care Medical Assessment section, provide details regarding the patient's stroke event, including the date of stroke onset, type, location, and any treatment received. Clearly indicate if this is the patient's first stroke or if they have had previous strokes.
5. Complete the Episode Information section. Record the patient's admission and discharge dates, and indicate who currently manages the patient's finances and personal care.
6. In the Rehab Assessment section, indicate the type of stroke and complete the necessary assessment instruments like AlphaFIM and Orpington Prognostic Scale to evaluate the patient's abilities and tolerances.
7. Finalize the form by reviewing all the sections, ensuring that no essential fields are left blank. Save your changes, and you will have the option to download, print, or share the completed form electronically.

Take action now by filling out your E-Stroke Rehab Referral Standardized Assessment And Referral Form Outpatient Rehab online today.