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Maternity Referral Form 2017

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Sight, hearing or anything else that we should be aware of? Yes / No Have you received any antenatal care from another hospital in this pregnancy? Yes / No If so which hospital? First day of last menstrual period OR estimated due date: Are you taking folic acid? Yes / No (All women are advised to take folic acid up to 14 weeks of pregnancy) How would you describe yourself? WHITE: ASIAN OR ASIAN BRITISH: A - British H - Indian B – Irish J – Pakistani C - Any other white background K –...

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What is the maternity referral form

The maternity referral form is a document used by healthcare providers to facilitate the transfer of care for expectant mothers. This form typically includes essential information about the patient’s medical history, current health status, and specific needs related to maternity care. It serves as a communication tool between healthcare professionals, ensuring that all parties involved are informed and can provide the best possible care during pregnancy and childbirth.

How to use the maternity referral form

Using the maternity referral form involves several steps to ensure accurate and effective communication between healthcare providers. First, the referring provider completes the form with the patient’s details, including personal information, medical history, and any relevant notes about the pregnancy. Next, the form is submitted to the receiving healthcare provider, who reviews the information to prepare for the patient's care. This process helps streamline patient management and ensures that all necessary information is shared.

Steps to complete the maternity referral form

Completing the maternity referral form requires careful attention to detail. Here are the steps to follow:

  • Gather the patient's personal information, including full name, date of birth, and contact details.
  • Document the patient's medical history, including any previous pregnancies, complications, or relevant health issues.
  • Include details about the current pregnancy, such as gestational age, expected due date, and any specific concerns.
  • Provide information about any medications the patient is currently taking and any allergies.
  • Sign and date the form to validate the information provided.

Legal use of the maternity referral form

The maternity referral form is legally binding when completed correctly and used in accordance with healthcare regulations. It is essential to ensure that the form complies with applicable laws, such as HIPAA, which protects patient privacy and ensures that sensitive information is handled appropriately. Proper completion and submission of the form can help prevent legal issues related to patient care and ensure that all healthcare providers involved are informed and accountable.

Key elements of the maternity referral form

Several key elements must be included in the maternity referral form to ensure it is comprehensive and effective. These elements typically include:

  • Patient identification details, such as name and contact information.
  • Medical history relevant to maternity care.
  • Information about the current pregnancy, including any complications.
  • Referring provider's details, including name and contact information.
  • Receiving provider's information to ensure proper routing of the referral.

Who issues the maternity referral form

The maternity referral form is typically issued by the healthcare provider who is referring the patient to another specialist or facility. This could be a primary care physician, obstetrician, or midwife. The form is designed to facilitate the transfer of care and ensure that the receiving provider has all necessary information to continue providing quality care to the patient.

Quick guide on how to complete maternity referral form

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  1. Find Maternity Referral Form and click on Get Form to begin.
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  4. Create your signature using the Sign feature, which takes moments and holds the same legal validity as a conventional wet ink signature.
  5. Review the details and click on the Done button to save your changes.
  6. Choose how you want to send your form, whether by email, text message (SMS), invite link, or download it to your computer.

Eliminate concerns about lost or misplaced documents, tedious form searching, or errors that necessitate printing new document copies. airSlate SignNow meets your document management needs in just a few clicks from any device of your choice. Alter and eSign Maternity Referral Form and ensure excellent communication at every phase of the form preparation process with airSlate SignNow.

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VersionsForm popularityFillable & printable
UK University College London Hospitals NHS Maternity Services - Self-Referral Form 20214.7 Satisfied (93 Votes)
UK University College London Hospitals NHS Maternity Services - Self-Referral Form 20174.8 Satisfied (1776 Votes)
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How to create an eSignature for the maternity referral form

Speed up your business’s document workflow by creating the professional online forms and legally-binding electronic signatures.

  • How to create an electronic signature for a PDF online

    Are you looking for a one-size-fits-all solution to eSign maternity referral form? airSlate SignNow brings together ease of use, affordable price and safety in a single online service, all without the need of forcing extra applications on you. You only need smooth web connection plus a gadget to work on.

    Stick to the step-by-step instructions listed below to add an eSignature to your maternity referral form:

    1. Select the form you wish to eSign and click on the Upload button.
    2. Hit the My Signature button.
    3. Select what kind of electronic signature to generate. There are 3 options; an uploaded, typed or drawn signature.
    4. Make your eSignature and click on Ok.
    5. Click Done.

    After that, your maternity referral form is completed. All you must do is download it or send it via electronic mail. airSlate SignNow can make eSigning simpler and more convenient because it offers users a number of extra features like Merge Documents, Invite to Sign, Add Fields, etc. And because of its cross-platform nature, airSlate SignNow can be used on any gadget, personal computer or mobile, regardless of the operating system.

  • How to create an electronic signature for a PDF in Google Chrome

    Google Chrome’s web browser has gained its worldwide popularity due to the range of useful features, extensions and integrations. For example, web browser extensions make it possible to maintain all the instruments you need a click away. Due to the cooperation between airSlate SignNow and Chrome, find its extension in the Google Web Store and then use it to eSign maternity referral form right in your web browser.

    The steps below will allow you to make an electronic signature for signing maternity referral form in Chrome:

    1. Find the extension in the Web Store and select the Add button.
    2. Log in to the account you have created.
    3. Click the link to the link to the file you wish to eSign and select Open in airSlate SignNow.
    4. Use the My Signature tool to make a unique electronic signature.
    5. Place it anywhere on the page and then click Done.

    As soon as you’ve finished putting your signature on your maternity referral form, decide what you should do after that - save it or share the file with other people. The airSlate SignNow extension offers you a range of features (merging PDFs, including numerous signers, and so on) for a much better signing experience.

  • How to create an e-signature for signing PDFs in Gmail

    Due to the fact that lots of organizations have gone digital, the majority of are sent via electronic mail. That applies to agreements and contracts, tax forms and almost any other document which requires a signature. The question arises ‘How can I sign the maternity referral form I got right from my Gmail without the third-party platforms? ’ The answer is simple - use the airSlate SignNow extension for Chrome.

    Listed below are 5 simple actions to get your maternity referral form eSigned without the need to leave your Gmail account:

    1. Visit the Google Chrome Web Store and add the airSlate SignNow extension to your internet browser.
    2. Log in to the account you’ve created.
    3. Open the electronic mail you got with the documents that require signing.
    4. Select Sign in the solution’s sidebar and make your eSignature.
    5. Press Done and the eSignature is ready. The eSigned document is going to be attached to the draft electronic mail created by airSlate SignNow’s eSignature tool.

    The sigNow extension was created to assist active people such as you to reduce the burden of signing forms. Start eSigning maternity referral form by means of tool and join the numerous happy customers who’ve previously experienced the key benefits of in-mail signing.

  • How to create an e-signature right from your smartphone

    Portable devices like smartphones and tablet PCs are actually a complete business replacement for desktop and laptop PCs. You can carry them everywhere and even use them on the run providing you have got a smooth connection to the internet. Therefore, the airSlate SignNow web app is important for completing and putting your signature on maternity referral form on the run. Within minutes, receive an digital paper with a legally-binding eSignature.

    Get maternity referral form signed from your smartphone following these 6 steps:

    1. Type signnow.com in the phone’s browser and sign in to your account. Register if you don’t have an account yet.
    2. Look for the document you need to eSign on your gadget and upload it.
    3. Open the file and choose the page which needs to be signed.
    4. Choose My Signature.
    5. Make your electronic signature, and add it to the page.
    6. Double-check that everything’s OK and choose the Done button.

    The whole process can take a few seconds. As a result, you can download the signed maternity referral form to your device or share it with other parties involved with a link or by email. Because of its universal nature, airSlate SignNow is compatible with any gadget and any OS. Select our eSignature solution and say goodbye to the old days with efficiency, affordability and security.

  • How to create an e-signature for a PDF on iOS

    In case you have an iOS device like an iPad or iPhone, easily make electronic signatures for signing a maternity referral form in PDF formatting. airSlate SignNow has paid close attention to iOS device users and developed an app exclusively for them. To get it, go to the AppStore and type airSlate SignNow in the search field.

    To sign a maternity referral form right from your iPad or iPhone, just follow these short guidelines:

    1. Download and install the airSlate SignNow app on your iOS device.
    2. Make an account using your email or sign in through Facebook or Google.
    3. Add the PDF file you have to eSign. Achieve that by getting it from the cloud or the internal storage.
    4. Choose the area you want to sign and click Insert Initials or Insert Signature.
    5. Draw your initials or signature, put it in the corresponding box and save the changes.

    After it’s eSigned it’s your choice on how to export your maternity referral form: save it to your mobile device, upload it to the cloud or send it to another party by means of email. The airSlate SignNow mobile app is as effective and powerful as the online tool is. Get connected to a strong internet connection and begin executing documents with a fully legitimate electronic signature within a few minutes.

  • How to create an e-signature for a PDF on Android

    Despite iOS devices being very popular among mobile users, the market share of Android smartphones and tablets is much greater. Therefore, airSlate SignNow provides a separate application for mobile devices working on Android. Easily find the app in the Play Market and set it up for putting your electronic signature on your maternity referral form.

    To be able to add an e- signature to a maternity referral form, keep to the simple guidelines listed below:

    1. Log in to your airSlate SignNow profile. If you have not made one yet, it is possible to be done, by means of Google or Facebook.
    2. Import the PDF file you need to eSign with the help of your digital camera or cloud storage by selecting the + symbol.
    3. Pick the place in which you need to put your eSignature and then create it in the popup window.
    4. Confirm and place it by clicking on the ✓ symbol and then save the changes.
    5. Download the resulting document.

    If you need to share the maternity referral form with other people, you can easily send the file by electronic mail. With airSlate SignNow, you are able to eSign as many papers daily as you require at a reasonable cost. Begin automating your eSignature workflows today.

How to create an electronic signature for a PDF online

Are you looking for a one-size-fits-all solution to eSign maternity referral form? airSlate SignNow brings together ease of use, affordable price and safety in a single online service, all without the need of forcing extra applications on you. You only need smooth web connection plus a gadget to work on.

Stick to the step-by-step instructions listed below to add an eSignature to your maternity referral form:

  1. Select the form you wish to eSign and click on the Upload button.
  2. Hit the My Signature button.
  3. Select what kind of electronic signature to generate. There are 3 options; an uploaded, typed or drawn signature.
  4. Make your eSignature and click on Ok.
  5. Click Done.

After that, your maternity referral form is completed. All you must do is download it or send it via electronic mail. airSlate SignNow can make eSigning simpler and more convenient because it offers users a number of extra features like Merge Documents, Invite to Sign, Add Fields, etc. And because of its cross-platform nature, airSlate SignNow can be used on any gadget, personal computer or mobile, regardless of the operating system.

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People also ask

Here is a list of the most common customer questions. If you can't find an answer to your question, please don't hesitate to reach out to us.

Need help? Contact support

A Maternity Referral Form is a crucial document that allows healthcare providers to refer patients for maternity-related services. Utilizing airSlate SignNow, you can easily create, send, and eSign this form, streamlining the referral process. This ensures that your patients receive the best care without unnecessary delays.

airSlate SignNow simplifies the Maternity Referral Form process by providing an intuitive platform for creating and managing documents. You can easily customize the form to meet your specific needs, send it to patients or colleagues for eSignature, and track its status in real-time. This efficiency helps improve patient care and enhances workflow.

Yes, there is a cost associated with using airSlate SignNow, but it is designed to be a cost-effective solution for businesses. Pricing plans vary based on features and the number of users, allowing you to choose the one that best suits your needs for managing Maternity Referral Forms and other documents. Sign up for a free trial to explore the platform before committing.

Absolutely! airSlate SignNow offers integrations with various applications such as CRMs, project management tools, and healthcare systems. This means you can seamlessly connect your Maternity Referral Form process with other software you use, enhancing efficiency and data management in your organization.

airSlate SignNow provides a host of features for Maternity Referral Forms, including customizable templates, automated workflows, and secure eSignature capabilities. You can also utilize advanced features like document tracking and reminders, ensuring that your forms are completed promptly and efficiently.

Security is a top priority for airSlate SignNow. The platform employs advanced encryption and compliance with regulations such as HIPAA to protect sensitive information. This ensures that all Maternity Referral Forms are securely handled, giving you peace of mind while managing patient referrals.

Yes, airSlate SignNow is mobile-friendly, allowing you to access and manage your Maternity Referral Forms from any device. Whether you’re in the office or on the go, you can easily create, send, and eSign documents, ensuring you stay productive and responsive to patient needs.

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