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Get Hk Dietitian Referral Form
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How to fill out the HK Dietitian Referral Form online
Filling out the HK Dietitian Referral Form online is a straightforward process that ensures accurate and timely referrals for patients in need of dietary support. This guide will provide detailed, user-friendly instructions to help you complete the form effectively.
Follow the steps to successfully complete the HK Dietitian Referral Form online.
- Click the ‘Get Form’ button to access the HK Dietitian Referral Form and open it in your preferred online editor.
- Enter the date of referral in the designated 'Date' field. This helps to document when the referral was made.
- In the 'Referrer' section, input your name or the name of the healthcare provider making the referral. This identifies who is referring the patient.
- Provide the patient's name in the 'Patient Name' field. It is essential to accurately capture the individual's full name to prevent confusion.
- Fill in the patient's date of birth in the appropriate field. This information is crucial for identification purposes.
- Select the patient’s gender by marking the appropriate checkbox for either 'Male' or 'Female'.
- If applicable, include the carer's name in the 'Carer's Name' field to ensure support information is comprehensive.
- Provide contact telephone numbers in 'Contact 1' and 'Contact 2'. This allows the dietitian to reach the patient or carer easily.
- Complete the address section. Enter the patient's or carer's address to assist in any follow-up necessary.
- In the 'Reason for Referral' section, tick the boxes that apply to the patient's condition, such as diabetes, food allergy, or other specified health issues.
- If the reason for the referral is not listed, use the 'Others' section to specify.
- Finally, the referrer must provide a signature or clinic stamp in the 'Dr's Signature or Clinic Chop' field to authenticate the referral.
Complete the HK Dietitian Referral Form online today to facilitate timely dietary support for your patients.
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