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Click ‘Get Form’ to open the hematology referral form in the editor.
Begin by filling out the patient information section. Include the patient's surname, given name, date of birth, and contact details. Ensure all fields marked as required are completed.
In the referral information section, specify the diagnosis and reason for consultation. Indicate whether the patient is aware of their diagnosis and provide details about any special needs.
Attach necessary documents such as pathology reports and previous medical history. Use our platform's upload feature to easily attach these files.
Review all entered information for accuracy. Make sure that all required fields are filled out to avoid delays in processing.
Once completed, save your changes and use the fax option to send it directly to CancerCare Manitoba’s Central Referral Office.
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What to Expect During an Appointment With a Hematologist. Being referred to a blood oncologist does not necessarily mean that a patient has a serious illness. Instead, it means there were concerning irregularities in the patients blood test results that need to be investigated.
What is a hematology referral for?
Youll most likely be referred to one by your primary care doctor. Reasons include if you have or might have: Anemia, or low red blood cells. Deep vein thrombosis (blood clots) Leukemia, lymphoma, or multiple myeloma (cancers in your bone marrow, lymph nodes, or white blood cells)
What should be on a referral form?
It includes information about the referring provider, the patients personal information, the reason for referral, referral details, and additional medical information.
Why would I have a hematology appointment?
What is the most common type of blood disorder? Anemia represents the most common type of noncancerous blood disorder. The U.S. Centers for Disease Control and Prevention estimates about 3 million people in the U.S. have some type of anemia. Anemia happens when you dont have enough healthy red blood cells.
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