Get Genetics Referral Form - Cheo - Home

Filling out the genetics referral form is an important step in ensuring proper medical guidance and support for patients. This guide will provide clear, step-by-step instructions to help you navigate the online form effectively.

Follow the steps to complete the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the genetics referral form and open it in your preferred online editor.
2. Begin with the patient information section. Enter the patient's full name, date of birth, address, phone number, and health card number as directed. Accuracy in this section is crucial for proper identification.
3. Provide the referral details. Enter the referring healthcare provider's name, physician number, address, and contact information. Ensure this information is clearly printed to avoid any miscommunication.
4. In the referral reason section, provide a clear and concise explanation of why the referral is being made. This helps the genetics clinic understand the patient’s needs.
5. Include any relevant medical reports and test results that support the referral. Collect and upload documents that may aid in the assessment of the patient's condition.
6. For prenatal referrals, input the last menstrual period (LMP) date, ensure all ultrasound reports and antenatal records are included, and provide results of prenatal screenings and lab reports as required.
7. Complete the risk factors checkboxes; highlight any family history or specific conditions that relate to inherited cancers or genetic disorders from the provided list.
8. Provide any additional clinical information that may be necessary for the healthcare provider to understand the context of the referral.
9. After filling out all sections, review the form for any inaccuracies or missing information. Save your changes.
10. Finally, download, print, or share the completed form as needed. Consider reaching out for confirmation or additional inquiries if required.

Take the steps to complete your genetics referral form online today for timely support and guidance.