Get Ie Hse Nccp-com-052-02 2018-2025

The IE HSE NCCP-COM-052-02 form is used for referrals to the National Rapid Access Prostate Clinic. This guide offers step-by-step instructions for users to effectively complete the form online, ensuring a smooth submission process.

Follow the steps to accurately complete the referral form.

1. Click ‘Get Form’ button to initiate the process and access the form in the online editor.
2. Enter the patient’s details in the designated fields, including their surname, first name, date of birth, mobile number, and any available hospital number.
3. Fill in the general practitioner details with their name, address, telephone number, and medical council registration number.
4. Indicate if an interpreter is required and if wheelchair assistance is needed, marking the relevant options.
5. Provide the date of referral and ensure the GP signature is included to validate the document.
6. Select the applicable referral information, including past medical history and digital rectal examination results, ensuring all related boxes are ticked as necessary.
7. Complete the section on prostate-specific antigen (PSA) tests, including past results and any relevant comments. Attach necessary reports if available.
8. Review all entered information for accuracy and completeness before finalizing.
9. Once all sections are completed, users may choose to save changes, download, print, or share the form as needed.

Complete your referral forms online today to ensure timely access to the necessary medical services.