Get Mississauga Halton Lhin Referral Form

Filling out the Mississauga Halton Lhin Referral Form online is a straightforward process that helps ensure appropriate care for individuals in need. This guide will walk you through each section of the form, providing clear instructions to assist you in completing it accurately.

Follow the steps to complete the referral form effectively.

1. Click ‘Get Form’ button to access the Mississauga Halton Lhin Referral Form and open it in your preferred editor.
2. Begin with the patient demographics section. Affix a label if appropriate, and fill in the following fields: Patient Name, Home Address, Planned Date of Hospital Discharge, Gender, Allergies, and Date of Birth.
3. In the referral information section, indicate the reason for referral by checking the appropriate boxes for services requested, such as Nursing care (Wound Care, IV, etc.), Physiotherapy, or other services.
4. Provide detailed medical information, including Diagnosis/Significant Medical Information, as well as the name and contact information of the person making the referral.
5. Fill in any specific orders required for nursing services, such as wound care orders or details about IV medication, dosing, and frequency.
6. Make sure to assess and document the degree of weight bearing if applicable and include any additional specific orders, such as those related to Foley catheter care or other nursing needs.
7. Finally, review the entire form for accuracy. Once completed, you can save changes, download, print, or share the form as needed.

Complete the Mississauga Halton Lhin Referral Form online today to ensure timely care for those in need.