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  • Psd/hof001/gb/dc 2014

Get Psd/hof001/gb/dc 2014-2025

Priate including ward) Inpatient Outpatient Date of Birth GP/Consultant Name Address GP/Consultant contact details Postcode Contact Telephone If already on enter recent INR and dose record Current Medication (please specify Anti-platelet drugs and other interacting medication) To continue when INR is therapeutic Y/N Date INR dose (Five most recent results & dose) Aspirin …..…….. mg daily ……….mg daily please fax recent prescription with the for.

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How to fill out the PSD/HOF001/GB/DC online

This guide provides a comprehensive overview of filling out the PSD/HOF001/GB/DC online, focusing on critical components and step-by-step instructions to ensure accurate submission for anticoagulant management. Whether you are new to this process or need a refresher, this guide aims to assist you in navigating the form effectively.

Follow the steps to successfully complete your PSD/HOF001/GB/DC online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Complete the patient details section. Include the patient's full name, date of birth, unit number, and current medication information. Ensure all specified fields are filled out carefully.
  3. Provide your details in the referrer details section. This includes surname, forename(s), position, and contact telephone number.
  4. Indicate if the patient is an inpatient or outpatient by ticking the appropriate box.
  5. If the patient is currently on , enter the recent INR and dose record, including details of any anti-platelet drugs.
  6. Specify the therapeutic INR range and the duration for which management is requested.
  7. Select the appropriate initiation algorithm (Rapid or Slow) by ticking the designated box.
  8. Complete any necessary sections for monitoring and advising the patient on dose changes as per the algorithm.
  9. Cross one of the options regarding authorisation of Vitamin K in case of over-anticoagulation.
  10. Sign and print your name, confirming you are legally responsible for the information provided.
  11. Finally, save your changes, and if required, download, print, or share the completed form.

Complete your PSD/HOF001/GB/DC online today to ensure efficient anticoagulant management.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232