Refer patients from within the community to specialist services with our excellent Home Care/Community to Specialist Service Referral Forms Pack!

The pre-filled template includes 3 pages of question boxes to be completed by the referring healthcare professional. This makes the referral process smooth, quick and organised.

The form also helps to ensure that important details such as infection status, allergies and current medications are correctly documented, promoting effective communication between community care / GPs and specialist care. The form also guarantees that no key information is missed or forgotten which may lead to rejection of the referral and longer waiting times for patients.

Sections on the referral form include:

• Key patient information such as name, ID number and language spoken
• Key referring information such as contact details of the referring GP / community care team
• Reason for referral
• Symptoms
• Medical history
• Examination findings / diagnostic investigations
• Current medications
• Allergies
• Family history
• Social history
• COVID-19 / infectious disease status

There are also several ‘notes’ sections throughout the form for any additional information. This promotes the delivery of personalised and individualised care for patients.

Why not also check out our Care Home to Specialist Service Referral Forms PDF Pack or Referral Forms Bundle PDF Pack for more excellent templates.

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