Get Canada Unity Health Toronto High Risk Pregnancy Referral 2021-2025

Navigating the high risk pregnancy referral process can be daunting, but completing the Canada Unity Health Toronto High Risk Pregnancy Referral form online does not have to be. This guide offers clear, step-by-step instructions to help you accurately fill out the necessary details to ensure a smooth referral process.

Follow the steps to complete the referral form effectively.

1. Press the ‘Get Form’ button to access the referral document and open it for editing.
2. Fill in the date at the top of the form to indicate when the referral is being made.
3. Provide the name of the Maternal Fetal Medicine physician you are referring the patient to by selecting one from the provided list.
4. Complete the patient contact information section. This includes entering the patient's name, address, OHIP number, and phone number(s).
5. Indicate the type of referral by checking the appropriate box for either a one-time consultation, shared care, or transfer of care.
6. Detail the clinical information, including gravity/parity and estimated due date (EDD).
7. Provide a thorough reason for the referral in the space provided. Ensure clarity and comprehensiveness to facilitate appropriate care.
8. Remember to note that all antenatal records, ultrasounds, and relevant lab results must be forwarded with the referral.
9. Complete the section for the referred by information, including your name and billing number if applicable.
10. Once you have filled out all sections, you can save your changes, download, print, or share the completed form as needed.

Complete your referral form online today to ensure timely care for your patient.