Get Images For What Is Ituhn/msh Hematology Consult Service Bone Marrow Procedure Clinic Patient

Filling out the Images For What Is ItUHN/MSH Hematology Consult Service Bone Marrow Procedure Clinic Patient form online is an essential step for facilitating appropriate care. This guide provides a systematic approach to ensure the completion of all necessary sections correctly.

Follow the steps to complete the form accurately online.

1. Press the ‘Get Form’ button to access the referral form and open it in your preferred editor.
2. Enter the date of referral at the top of the form. Ensure that this date reflects when the referral is being made.
3. In the patient information section, fill in the patient's last name, first name, and birth date in the specified format (yyyy/mm/dd).
4. Complete the street address, contact number, postal code, and city fields for the patient’s information.
5. Select the patient's sex by marking the appropriate box (M or F).
6. If applicable, provide the UHN medical record number and health card number.
7. In the referrer details section, fill in the name, specialty, OHIP billing number, and the address information of the referring clinician.
8. Document the phone number and fax number of the referring clinician.
9. In the details section, explain the reason for the bone marrow procedure or the suspected diagnosis.
10. Indicate the samples to be taken by checking the appropriate boxes for aspirate and biopsy options.
11. If the patient is on anticoagulants, note this information and ensure the INR is ≤2.0 on the day of the procedure, as it is the referrer’s responsibility.
12. Review all provided information for accuracy. Make any necessary adjustments before finalizing the form.
13. Once complete, you have the options to save changes, download the completed form, print it, or share it as needed.

Submit your completed form online to facilitate the patient's appointment.