Get Dr Nadia Branco

This guide provides clear and detailed instructions on how to fill out the Dr Nadia Branco referral form online. Follow these steps to ensure all necessary information is accurately entered to facilitate the referral process.

Follow the steps to complete the referral form accurately.

1. Press the ‘Get Form’ button to access the referral form electronically.
2. Fill in the date by entering the appropriate day, month, and year in the designated field.
3. In the Referring Physician Information section, provide your name, your Medical Services Plan (MSP) number, and your fax number.
4. Complete the Patient Information section with the patient's name, address, personal health number (PHN), date of birth, and contact telephone numbers (home and cell). You can also use a label to affix this information if available.
5. Select the appropriate gynaecologist(s) by checking the box next to their names. You may choose more than one gynaecologist to expedite the appointment scheduling.
6. Determine if the referral is urgent. If applicable, check the box for Urgent Referral, which will prioritize the patient's appointment within one week.
7. In the Specialty Clinics section, check any services required that pertain to the patient’s condition.
8. Provide the reason for the referral in the designated space, ensuring it is clear and concise.
9. Attach any supporting documents relevant to the referral such as ultrasounds or bloodwork by checking the corresponding boxes.
10. Once all information has been entered, review the form for accuracy. After confirming all details are correct, save the changes, and then you can choose to download, print, or share the completed form as needed.

Complete your documents online to streamline the referral process today.