Get Referral For Ivf Check List For Eligibility From 01.12.09 - Isle...

Filling out the Referral For Ivf Check List For Eligibility From 01.12.09 is an important step in accessing NHS-funded IVF treatment. This guide provides a clear and supportive approach to help users navigate the online form effectively.

Follow the steps to complete the checklist successfully.

1. Press the ‘Get Form’ button to obtain the document and open it in your preferred online editor.
2. Begin by entering the name of the referrer and their details, including the referring hospital, address, and contact number. Ensure all information is accurate and complete.
3. Next, fill in the patient's GP information, including their name, address, and telephone number. This section helps to provide continuity in care.
4. Indicate the provider choice by circling the appropriate option from the list. This choice determines where the referral will be sent.
5. Complete the sections for both the female and male patients, including details such as date of birth, age, NHS number, and other relevant contact information.
6. Address the eligibility criteria by answering the questions regarding fertility pathways, duration of infertility, previous treatment history, and other specified conditions. It is crucial to provide honest and accurate responses.
7. Review the checkbox sections regarding childlessness, sterilisation, BMI, smoking status, and compliance with the HFEA Code of Ethics, marking 'Yes' or 'No' as applicable to your situation.
8. Both partners must sign the statement confirming that the provided information is correct. Ensure that the date of referral is clearly indicated.
9. After completing the form, you can save the changes, download the completed document, or print it out for submission.

To ensure a smooth process, complete the Referral For Ivf Check List For Eligibility online now.