Follow the steps to accurately complete the form.

1. Press the ‘Get Form’ button to access the Lipid Clinic Hamilton referral form and open it in the document editor.
2. Begin by entering the referring physician's name and fax number. This information is crucial for communication with healthcare providers regarding the referral.
3. Input the patient’s name, their family physician’s name, and the family physician's fax number to ensure all relevant parties are informed and involved in the patient's care.
4. Enter the patient's date of birth in the specified format (dd/mm/yyyy). This ensures accurate identification and age-related assessment.
5. Fill in the patient's address and telephone numbers, including both home and work numbers, if applicable. This information is vital for scheduling and communications.
6. Provide the patient’s health card number. This is necessary for billing and insurance purposes.
7. Indicate whether the patient has been seen at the clinic previously by marking 'Yes' or 'No.' If yes, include the date of the last visit.
8. Complete the referral levels section by entering the total cholesterol, LDL, and HDL results, noting that these lipid levels must be less than three months old.
9. Mark all relevant health conditions that apply to the patient from the provided list, such as smoking status, family history, and any past medical events.
10. Document any other relevant medical history and medications the patient is currently taking, ensuring to specify any intolerances or side effects associated with lipid medications.
11. Review the patient instructions carefully to ensure the patient understands the need to fast and avoid certain activities before their appointment.
12. Once all sections are filled out accurately, save the changes, and prepare to download, print, or share the completed referral form as needed.

Complete your Lipid Clinic Hamilton referral form online today to ensure timely and effective care.