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How to use or fill out High-risk pregnancy referral form with our platform
- Click ‘Get Form’ to open the High-risk pregnancy referral form in the editor.
- Begin by entering the date at the top of the form. This is essential for record-keeping.
- In the 'To' section, select the appropriate physician from the Maternal Fetal Medicine Division by checking one of the boxes next to their names.
- Indicate the type of referral by selecting one of the options: One-time consultation, Shared care, or Transfer of care.
- Fill in the Patient Contact Information section with details such as Name, Address, OHIP number, and Phone number(s). Ensure accuracy for effective communication.
- Provide Clinical Information including Gravity/Parity and Estimated Due Date (EDD).
- Clearly state the Reason for Referral in the designated space. Be as detailed as possible to assist in patient evaluation.
- Remember to note that all antenatals, ultrasounds, and relevant lab results should be forwarded with this referral.
- Finally, complete the Referred by section with your name and billing number before submitting.
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See more High-risk pregnancy referral form versions
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2021 | 4.8 Satisfied (65 Votes) |
Got questions?
Can I sign my High-risk pregnancy referral form on a mobile?
Of course, you’ll find numerous applications for this on the web. Nonetheless, if you need to eSign your High-risk pregnancy referral form without installing extra software, DocHub is the optimum choice you can make. This robust editor works on mobile devices just like on desktops. Open our editor in any internet browser, register or log in to your account, and start managing your forms.
How do you complete High-risk pregnancy referral form on iOS?
You need only an internet connection and a browser to fill out your High-risk pregnancy referral form on an iOS phone. Open the DocHub website and authenticate. Then, add your file or choose it from the list in your dashboard. Then use our editing tools to fill out your form and preserve all your changes. You may also send it to a specified recipient immediately.
How will I know if my pregnancy is high risk?
What qualifies a pregnancy as high risk?
What are four factors that can cause a mother to be high risk?
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