Get Seds Referral

The Seds Referral form is essential for referring patients to a multidisciplinary subspecialist tertiary care mental health eating disorder service. This guide will help you understand each component of the form and provide clear steps for completing it online.

Follow the steps to fill out the Seds Referral form online

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the patient information section. Provide the patient's name, date of birth, address, preferred language, and whether an interpreter is required. Ensure that you confirm the patient's consent for the referral.
3. Complete the medical practitioner information section. Input your name, practice name, address, contact phone number, and whether you are a General Practitioner or another specialist. Indicate whether you will provide ongoing care.
4. List any other services or clinicians involved in the patient's care. Include their names, organizations, professions, and contact numbers.
5. Describe the presenting issue, including the onset, course, previous treatment, and responses to prior treatment.
6. Document the patient's eating disorder symptoms. Indicate if the patient has symptoms like food restricting, binge behavior, vomiting, excessive exercise, laxative use, or others. Provide relevant details as necessary.
7. Record the patient's weight history. Include current weight, height, BMI, highest and lowest weight, and rates of recent weight change. Note amenorrhea status.
8. Specify any diagnoses relevant to the eating disorder and any treatment history related to psychiatric or substance use issues.
9. Include the patient's medications, adding additional sheets if necessary. Document the name, indications, dose, frequency, prescribing doctor, and duration.
10. Conduct and note the physical examination details, including temperature, heart rate, and blood pressure. Indicate if an ECG was conducted or ordered.
11. Select and note any required investigations, ensuring to follow up with pathology results when available.
12. Conduct a mental state examination and current risk assessment for suicide and self-harm, noting the date performed and any pertinent details.
13. Provide any additional comments or desired outcomes for the patient's referral.
14. Acknowledge the medical practitioner section by signing and dating the form, ensuring you include your provider number.
15. Once completed, save your changes and prepare to submit the form via fax to the provided number.

Complete the Seds Referral form online to ensure your patient's timely access to necessary care.