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1 URGENT TIA CLINIC FAST TRACK REFERRAL FORM
https://www.ruh.nhs.uk/For_Clinicians/departments_ruh/Acute_Stroke_Unit/documents/TIA_Referral_Form.pdf
URGENT TIA CLINIC FAST TRACK REFERRAL FORM. (Please use ICE electronic referrals whenever possible). ALL PATIENTS: PLEASE TELL PATIENT NOT TO DRIVE.
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2 rapid access stroke prevention tia clinic referral proforma - EMed
https://emed.ie/_docs/Neuro-TIA_RASP_Clinic_Referral_Form_Feb2013.pdf
TIA CLINIC REFERRAL PROFORMA. Reg flags for urgent same day admission? Yes. No. Any residual neurological symptoms. Any residual neurological signs.
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3 SWBH TIA clinic referral pathway
http://www.swbh.nhs.uk/wp-content/uploads/2014/01/ED_SWBH_pathway_referral_from_and_patient_information_sheet.pdf
SUSPECTED TIA: SWBH TIA clinic referral pathway. FAX completed referral form (page 2) to 0121 507 3299. GIVE aspirin 300mg stat, if no contraindication (to ...
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4 TIA CLINIC REFERRAL FORM URGENT REFERRAL
https://northyorkshireccg.nhs.uk/wp-content/uploads/2021/04/tia-clinic-referral-form_03.04.19_v2-1.pdf
TIA CLINIC REFERRAL FORM. URGENT REFERRAL – ACT IMMEDIATELY. Referral Pathway and Contacts on Page 5 Referral Form. Page 1 of 5. Reference/Priority.
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5 TIA referral proforma - University Hospital Southampton
https://www.uhs.nhs.uk/Media/UHS-website-2019/Docs/Services/Brain-spine-and-neuromuscular/TIA-referral-proforma.doc
SHIP* Referral Proforma for Transient Ischaemic Attack (TIA) ... Referral to TIA clinic TODAY by faxing this referral form. Perform:.
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6 TIA CLINIC (IVMC)
https://cesnstroke.ca/wp-content/uploads/2021/06/TIA-Clinic-IVMC-Referral-Form.pdf
Eligible patients for TIA clinic are those thought to have had a recent ... reported and ready for vascular physician within 72–96 hours of the referral.
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7 Rapid Access TIA / Stroke Prevention Clinic Referral Form
https://www.nnuh.nhs.uk/publication/download/tia-clinic-referral-form/
Rapid Access TIA / Stroke Prevention Clinic Referral Form. Referral Process and Next Steps. High Risk All High Risk referrals must be phoned through to ...
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8 GP Referral form for TIA - Chelsea and Westminster Hospital
https://www.chelwest.nhs.uk/professionals/links/plain/GP-TIA-Referral-Form.pdf
ACTION: TIA Clinic Referral. 1. Complete clinical description. 2. Prescribe Aspirin 300 mg (unless on Warfarin) and give first dose. 3. Refer to TIA clinic ...
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9 Rapid Access Stroke Clinic: Patient referral Form
https://www.mater.ie/services/stroke/FAST_Service_Referral_Form.pdf
Fast Assessment of Suspected TIA. REFERRAL SOURCE (PLEASE PRINT) ... NO REFERRAL ACCEPTED WITHOUT PHONECALL TO TIA MOBILE FROM CONSULTANT, REGISTRAR OR GP.
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10 TIA/Stroke/Neurology Clinic Community Referral Form
https://www.mackenziehealth.ca/staff-physicians/physicians-resource-centre/referral-and-consent-forms/5285-tia-stroke-neuro-clinic-community-referral-form.pdf
Form# 5285 (Rev. July 2018). Please check which clinic the referral is being directed to and complete all required information in ... TIA/Stroke Clinic.
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11 Transient Ischaemic Attack (TIA) Clinic Referral Form
https://www.fhft.nhs.uk/media/3989/2019-06-26-fph-tia-referral-external.doc
Transient Ischaemic Attack (TIA) Clinic Referral Form - EXTERNAL. Please ring 01252-649842 and speak with Stroke Consultant OR stroke coordinator to discuss ...
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12 tia referral form - East and North Hertfordshire NHS Trust
https://www.enherts-tr.nhs.uk/content/uploads/2019/12/Rapid-Access-TIA-REFERRAL-2017.pdf
Details of discussion with consultant (including their name) if TIA clinic referral advised after discussion: Click here to enter text. TIMINGS. First onset of ...
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13 stroke prevention clinic referral form - WordPress.com
https://londonreferral.files.wordpress.com/2018/03/stroke-prevention-clinic-stratford_fillable.pdf
Please fax this form and copies of all investigations to: Stroke ... Date of Event (TIA or MINOR STROKE): ... STROKE PREVENTION CLINIC REFERRAL FORM.
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14 Stroke-Prevention-Clinic-Referral-Form.pdf
http://www.vch.ca/Documents/Stroke-Prevention-Clinic-Referral-Form.pdf
TIA & STROKE PREVENTION. RAPID ACCESS REFERRAL. Fax this completed form and related records to desired location below. Vancouver General Hospital.
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15 HEALTH SCIENCES NORTH (HSN) STROKE PREVENTION ...
https://www.corhealthontario.ca/Referral-Form-and-Triage-Tool-for-Health-Sciences-North-Stroke-Prevention-Clinic-during-Covid-Pandemic.pdf
The Stroke Prevention (TIA) Clinic will triage and order investigations ... FAX: Referral Form and Referral Note to (705)-675-4796.
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16 WRH SSPC Referral Form.pdf
https://swostroke.ca/Uploads/ContentDocuments/WRH%20SSPC%20Referral%20Form.pdf
URGENT TIA CLINIC REFERRAL FORM ... For very high risk patients (ABCD2 score greater than 4) with TIA or minor stroke of non-cardioembolic origin (NIHSS ...
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17 HHS-SPC-Referral-form.pdf
https://www.csnstroke.ca/wp-content/uploads/2019/01/HHS-SPC-Referral-form.pdf
STROKE PREVENTION CLINIC ... Clinic Located at the Hamilton General Hospital Site ... Reason for referral: ❑ TIA ❑ Stroke ❑ Carotid Stenosis. ❑ Other: ...
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18 Lambeth and Southwark TIA referral form
https://www.kch.nhs.uk/Doc/RF%20-%20020.5
King's College Hospital TIA Clinic Referral Form. Lambeth / Southwark TIA Referral Form, Date / Method of Referral: Refer for sudden onset of focal ...
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19 TIA Low Risk Transient Ischaemic Attack Clinic ... - Google Sites
https://sites.google.com/site/sheffieldccgportal/referral-forms/tia-low-risk-transient-ischaemic-attack-clinic-stroke-team-referral-form
TIA Low Risk Transient Ischaemic Attack Clinic/Stroke Team Referral Form · Author: Amanda Jones, STH · Date Published: April 2018 · Date to Review: ...
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20 TIA and Stroke Prevention Referral
https://www.tostroke.com/wp-content/uploads/2021/02/TIA-and-Stroke-Prevention-Referral-Form.pdf
Criteria for Urgent Referrals (<72 hour turnaround time, 24-48 hours during week) ... St Michael's Hospital Rapid TIA and Minor Stroke Clinic.
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21 TIA clinic | acute-gp
https://www.acutegpcornwall.com/tia-clinic
Referrals are picked up and actioned seven days a week. Clinics are held daily (see below). Contact telephone 01209 318120. ​. Referral forms ( ...
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22 North Central London TIA Referral Form
https://www.whittington.nhs.uk/document.ashx?id=6129
North Central London TIA Referral Form Transient Ischaemic Attack Referral Protocol. Refer sudden-onset focal loss of neurological function or sudden-onset ...
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23 Stroke services - TIA referral - Medway Community Healthcare
https://www.medwaycommunityhealthcare.nhs.uk/health-and-care-professionals/online-referral-forms/stroke-services-tia-referral
TIA fast track service referral. For urgent appointments, please call a stroke nurse on 01634 830000 bleep 841 and complete the form below, or contact our ...
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24 TIA – Rapid Assessment Service Referral Form | SA Health
https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/resources/tia+-+rapid+assessment+service+referral+form+-+salhn
Referral Form. A Transient Ischaemic Attack (TIA) is defined as an ischaemic ... Instruct the patient NOT TO DRIVE until reviewed in the TIA clinic.
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25 QUEEN'S HOSPITAL, BHRUT TIA Referral Form - PELC
http://www.pelc.nhs.uk/uploads/1/0/9/5/109575575/tia_referral_form.pdf
QUEEN'S HOSPITAL, BHRUT TIA Referral Form. Email to: [email protected] along with any supporting history. First Name ... A&E/ GP/ Eye clinic.
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26 DAILY TIA CLINIC REFERRAL FORM Department of Stroke ...
http://www.leicestershospitals.nhs.uk/EasysiteWeb/getresource.axd?AssetID=887&type=full&servicetype=Inline
Associated loss of consciousness makes TIA very unlikely. Please consider “UHL Syncope Pathway”. 5. TELL PATIENT that they “must not drive” until seen in clinic ...
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27 Luton and Dunstable Hospital Rapid Access TIA Clinic ...
https://www.bedfordshirehospitals.nhs.uk/news/documents/tia-referral-form
Rapid Access TIA Clinic Referral form. Patient's Details (Affix Label). Please check as this is essential,. Patients Tel no: Please ensure patient has TIA ...
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28 TIA / minor stroke referrals - Oxford University Hospitals
https://www.ouh.nhs.uk/services/referrals/tia.aspx
Oxford University Hospitals provides daily TIA clinics (Monday to Sunday). ... Minor Stroke and TIA Referral Form - ClinOx ...
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29 tia & stroke prevention rapid access referral
https://www.providencehealthcare.org/sites/default/files/134%20%28VCH.0172%29%20TIA%20%20Stroke%20Prevention%20Rapid%20Access%20Referral-Regional%20%28R.%20Feb-21%29.pdf
RAPID ACCESS REFERRAL. Fax this completed form and related records to desired location below ... LGH clinic only accepts TIA referrals. Fax: 604-984-3748.
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30 TIA & Stroke Clinic Outpatient Referral - Alberta Health Services
https://www.albertahealthservices.ca/frm-19554.pdf
Central Alberta - TIA & Stroke Clinic. Outpatient Referral. 19554(2015-06). Fax this completed form and related records to desired location.
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31 South Warwickshire General Hospitals TIA Referral Form
https://www.uhcw.nhs.uk/download/clientfiles/files/TIA%20referral%20form%20-%20Updated%20Sep%2018.doc
TIA Referral Form. For all TIA services across Coventry & Warwickshire ... patient to hospital or clinic, if possible ☐; To take medication list to clinic ☐
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32 Neurology - London & Region Medical Referrals
https://londonreferral.com/neurology/
› neurology
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33 stroke and tia referral form
https://www.uhb.nhs.uk/Downloads/word/gp-referral-stroke-tia-medicine-advice.docx
LOWER RISK TIA. (Event occurred > 1 week ago). Transient Ischaemic Attack Clinic Referral,,. Stroke Medicine Clinic Referral ...
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34 ashford & st. peter's gp direct emergency tia referral form
https://ashfordstpeters.net/gpcentre/docs/ASPH_TIA_GP_REFERRAL_FORM_Hounsolw_dec13v1.rtf
PETER'S GP DIRECT EMERGENCY TIA REFERRAL FORM ... Gender: Date of Referral: ... that person should accompany the patient to the hospital or clinic.
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35 TIA: RFL - North Central London GP Website
https://gps.northcentrallondon.icb.nhs.uk/service/tia-royal-free
Transient ischaemic attack (TIA) clinics providing rapid assessment and ... The referral forms for RF and Barnet Hospital are available via EMIS from the ...
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36 TIA Referral Form - Kingston Hospital
https://kingstonhospital.nhs.uk/publication/tia-referral-form/
TIA Referral Form. Date: January 16, 2020. Type: Doc. Topics. Patient Referral Forms,. Download Document. Tell us how we are doing we'd love to have your ...
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37 TIA REFERRAL FORM
https://yeovilhospital.co.uk/gps-hub/other-referral-forms/tia-referral-form/
TIA REFERRAL FORM · Social community · Small print · Contact us ...
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38 Rapid Access TIA referral form Salisbury
https://mg.salisbury.nhs.uk/media/1476/rapid-access-tia-referral-form-salisbury-ver-3-2017-from-icid-march-2019.doc
Seven-Day Rapid Access TIA clinic Referral. Telephone 03000 334 000 (24hrs). You will be asked for the following information.
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39 TIA clinic referral proforma - Western Sussex Hospitals -
http://www.westernsussexhospitals.nhs.uk/wp-content/uploads/2014/12/TIA-referral-proforma.doc
TIA clinic referral proforma. Patient details. Step 1 - Is the patient a candidate for the rapid access TIA clinic? We now have daily TIA clinics Monday ...
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40 Transient Ischaemic Attack (TIA) Referral Form County Hospital
https://www.uhnm.nhs.uk/media/1149/150520-tia-service-tia-referral-form.pdf
This is unlikely to be a TIA. Action: Consider alternatives referral route e.g. refer to General Medicine,. General Neurology Clinic.
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41 Get FAST TRACK TIA CLINIC REFERRAL FORM - Northampton
https://www.uslegalforms.com/form-library/315345-fast-track-tia-clinic-referral-form-northampton-northamptongeneral-nhs
Complete FAST TRACK TIA CLINIC REFERRAL FORM - Northampton ... - Northamptongeneral Nhs online with US Legal Forms. Easily fill out PDF blank, edit, ...
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42 TIA referral proforma AMNCH revised DMcC Dec 07
https://www.tuh.ie/Healthcare-Professionals/How-to-Refer-a-Patient/AMNCH-TIA-revised-referral-proforma-ABCD2-Oct-2017.pdf
Rapid Access Stroke Prevention Service / TIA Referral Proforma Oct 2017 ... FAX form to Neurovascular Service: 01 4143244 (Mon–Fri am); Fax accompanying ...
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43 TIA Clinic Referrals - NHS Vale of York CCG
https://www.valeofyorkccg.nhs.uk/rss/home/cardiology/tia-clinic-referrals/
Click here for more info. You are here: Home > RSS > Referral Support Service > Cardiology > TIA Clinic Referrals ...
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44 TIA/Minor Stroke Referral Form - Treatment Pathways
http://www.treatmentpathways.worcsacute.nhs.uk/EasysiteWeb/getresource.axd?AssetID=177628&servicetype=Attachment
TIA Clinic referral email [email protected]. TIA Clinic Contact number DDI: 01905-760175/internal extension: 30896. Patient details:.
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45 TIA Rapid Access Clinic | Service Listing | Ih - Interior Health
https://www.interiorhealth.ca/services/tia-rapid-access-clinic
A nurse contacts patient for a detailed history after the referral is received, confers with the specialist, and arranges diagnostic tests and patient ...
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46 201802151506_tia_referral_form...
http://www.kingstoned.org/uploads/2/4/0/2/24023085/201802151506_tia_referral_form_feb_2018.docx
Email this form to: khn-tr. ... Transient Ischaemic Attack (TIA) Referral Form ... TIA patients can be discharged to be seen in the TIA Clinic Monday ...
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47 Get the free Derby Stroke Centre TIA Clinic Referral Form
https://www.pdffiller.com/460905205--Derby-Stroke-Centre-TIA-Clinic-Referral-Form-
Derby Stroke Center TIA Clinic Referral Form High Risk Ties must be referred immediately Email: deft. Referrals NHS.net For inquiries phone 07917 650772 24 ...
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48 TIA Clinic - REFERRAL GUIDELINES - Peninsula Health
https://www.peninsulahealth.org.au/wp-content/uploads/TIA-Clinic-.pdf
Transient Ischaemic Attack (TIA) Clinic ... All TIA Clinic referrals to be triaged by the Neurology Registrar, ... clinic referral form.
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49 STROKE PREVENTION CLINIC REFERRAL FORM
https://hsnsudbury.ca/Portals/1/Services/Medicine/Stroke_Prevention_Clinic/STROKE_PREVENTION_CLINIC_REFERRAL_FORM.pdf?ver=k4vN_JQ1yRO78axz4S4C0g%3D%3D
Please attach a brief description of the TIA event and relevant medical history to this referral form. NOTE: INCOMPLETE REFERRAL FORMS WILL NOT BE TRIAGED ...
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50 Transient Ischemic Attack (TIA) (Stroke) - OHSU
https://www.ohsu.edu/referral-service/transient-ischemic-attack-tia-stroke
Department. Cardiology; Neurology; Sleep Clinic. 1. Start the referral process: Use your own referral form or notes* or download our form:.
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51 Referral for TIA/Non-Disabling Stroke - form
https://www.saskhealthauthority.ca/sites/default/files/2021-07/Referral-SCA-TIA.pdf
Seek urgent consult with neurologist. MODERATE RISK. Patients referred to a stroke prevention clinic will be seen in order of urgency. Wait ...
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52 Stroke Prevention Clinic - TIA Rapid Assessment
https://www.fraserhealth.ca/Service-Directory/Services/chronic-disease-management/stroke-prevention-clinic---tia-rapid-assessment
Patient will be contacted by clinic following physician referral. Resources. TIA Stroke Prevention Clinic referral form available in the emergency department.
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53 TIA Clinic Referral Form - Please fax to 01209 881632
http://rms.kernowccg.nhs.uk/content/files/TIA%20Clinic%20Referral%20Form%20-%20Version%202.doc
TIA Clinic Referral Form - Please fax to 01209 881632. IF MORE THAN ONE TIA IN 7 DAYS PLEASE ADMIT TO MAU. Version 2 TIA = focal neurological or monocular ...
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54 TIA clinic - Surrey and Sussex Healthcare NHS Trust
https://www.surreyandsussex.nhs.uk/our-services/medicine-emergency/accident-and-emergency/tia-clinic
GPs can refer patients with suspected TIA (also known as a mini stroke) direct to the TIA clinic by phoning the hospital and paging the Stroke nurse ...
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55 Secondary Stroke Prevention Clinic FAX: 519-749-4351
https://www.grhosp.on.ca/assets/documents/Registration-and-Referral-forms/SSPC-Referral-Form-GRH2280-1113-Mar-10-2016-doc-FINAL.pdf
Secondary Stroke Prevention Clinic. REFERRAL FORM. Fax completed referral form to: FAX: 519-749-4351 ... Date of most recent TIA/Stroke Event: ...
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56 Stroke Prevention Clinic Referral Form
https://southlake.ca/wp-content/uploads/2019/12/SL0677_07_Outpatient_Psyhcosocial_Oncology__Palliative_Care_Referral_Form-1.pdf
REASON FOR REFERRAL: check appropriate box (/). 1. ❑ Signs and Symptoms of TIA /Stroke (please circle ABCD2 triage score). A ❑ Age greater than 60 years ...
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57 West GTA Regional Stroke Prevention Clinic Referral Form
https://trilliumhealthpartners.ca/patientservices/neurosciences/Documents/SPC%20REFERRAL%20FORM%20V6.pdf
**PLEASE NOTE: The target population of the West GTA Regional Stroke Prevention Clinic is for patients who have had a TIA or minor stroke not requiring ...
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58 9551_TIA clinic referral.indd - Doncaster CCG
http://www.doncasterccg.nhs.uk/wp-content/uploads/2019/06/FINAL-DRAFT-SYB-TIA-Referral-Form-V7.docx
Suspected TIA within 7 days: should be seen in the TIA clinic ... Complete the SYB TIA referral form and email [email protected] ...
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59 Stroke Prevention Clinic - Referral Form
https://www.hpha.ca/uploads/Stroke_Prevention_Clinic%20-%20Referral%20Form.pdf
Please fax this form and copies of all investigations to: Stroke ... Date of Event (TIA or MINOR STROKE): ... STROKE PREVENTION CLINIC REFERRAL FORM.
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60 Transient ischaemic attack (TIA) | Stroke services
https://www.royalfree.nhs.uk/services/services-a-z/stroke-services/transient-ischaemic-attack-tia/
Specialist stroke recovery services at our acute stroke unit, TIA clinic, ... a patient to one of our TIA clinics, please use the relevant referral form:.
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61 Rapid Access Clinic for TIAs – Referral Form - NHS Sussex
https://int.sussex.ics.nhs.uk/clinical_documents/rapid-access-tia-referral/
Rapid Access Clinic for TIAs – Referral Form. East Sussex Hospital Trust (Conquest Hastings and DGH Eastbourne). Referral Criteria. •. Patients with a TIA, ...
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62 Mayday University Hospital NHS Trust
https://www.stgeorges.nhs.uk/wp-content/uploads/2018/10/SGH-TIA-referral-form-2018.docx
TIA OPEN ACCESS CLINIC REFERRAL FORM If FAST +ve (still has symptoms) Call ambulance. Send to A&E If TIA occurred in last 48 hours and Call Stroke Team ...
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63 TIA Clinic Referral Form.pdf - Yumpu
https://www.yumpu.com/en/document/view/26992990/tia-clinic-referral-formpdf
URGENT TIA CLINIC REFERRAL. (No appointment will be given without this information). Name (Patient). #. Address. Telephone: ...
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64 Referral pathways for patients with TIA avoiding ... - BMJ Open
https://bmjopen.bmj.com/content/7/2/e013443
Transient ischaemic attack (TIA) is a neurological event characterised by the ... to outpatient TIA clinic using an automatically generated referral form.
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65 Transient Ischaemic Attack (TIA) and Stroke (age over 16)
https://www.coventryrugbygpgateway.nhs.uk/pages/stroke-and-tia/
Referral forms and pathways. TIA Referral Form – BLANK 2022 ... 13th June 2022, UHCW will hold TIA (Transient Ischaemic Attack) clinics for all Coventry, ...
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66 TIA/Minor Stroke Rapid Assessment Clinic Referral
http://kelownaneuro.com/wp-content/uploads/2020/09/TIA-Stroke.pdf
IMPORTANT: Incomplete or illegible forms will be returned. Exam will be delayed or cancelled. DOB. Name. Address. PHN. Date (dd/mm/yyyy) and Time of Symptom ...
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67 TIA Clinic Referral FAX 9076 2671 - Alfred Health
https://www.alfredhealth.org.au/contents/resources/referral-forms/TIA-Clinic-referral-form.pdf
TIA Clinic Referral. FAX 9076 2671 attach Bradma label or. Name. UR dob. Phone. Referring Hospital ... D Duration of TIA ≥ 60 mins.
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68 191216-DDHHS-Rapid-Access-TIA-Clinic-Referral.pdf
https://www.ddwmphn.com.au/uploads/attachments/191216-DDHHS-Rapid-Access-TIA-Clinic-Referral.pdf
Referral for Rapid Access TIA. Clinic – GARSS. Do not reproduce by photocopying. All clinical form creation and amendments must be conducted through Health ...
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69 A to Z of services | Croydon Health Services NHS Trust
https://www.croydonhealthservices.nhs.uk/a-to-z-of-services/service/direct-access-tia-clinic-97/
Patients with symptoms consistent with a possible TIA should be referred by their GP's using the open access TIA referral form. This is a walk in clinic and ...
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70 east & north hertfordshire hospital trust tia referral form
http://www.enhertsccg.nhs.uk/sites/default/files/ENHT%20High%20and%20Low%20Risk%20TIA%20referral%20form%20S1%20%20EMIS%20V2_0.docx
Details of discussion with consultant (including their name) if TIA clinic referral advised after discussion: Click here to enter text. TIMINGS.
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71 TIA Low Risk Transient Ischaemic Attack ... - PRESS Portal
https://www.sheffieldccgportal.co.uk/referral-forms/tia-low-risk-transient-ischaemic-attack-clinic-stroke-team-referral-form
TIA Low Risk Transient Ischaemic Attack Clinic/Stroke Team Referral Form · Author: Amanda Jones, STH. Date Published: April 2018. Date to Review: October 2020.
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72 Transient Ischemic Attack (TIA) Clinic - Interior Health - Pathways
https://central-okanagan.pathwaysbc.ca/programs/2803
TIA Rapid Access Clinics identify and treat transient ischemic attacks (TIA), ... Kelowna/Central Okanagan Location = KELOWNA referral form
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73 Referral Forms & Guidelines - Cork University Hospital - HSE
https://cuh.hse.ie/gps-clinicians/referral-forms/
CUH Diabetic Foot Clinic Referral Form. Neurology. Acrobat Reader logo TIA Clinic Referral Proforma · Ambulatory TIA Clinic Guilelines. Outpatients.
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74 Stroke Information: TIA assessment and referral
https://www.wuth.nhs.uk/support-and-advice/stroke-information-tia-assessment-and-referral/
If your patient has had a TIA please refer NOW using The Rapid Access TIA / Minor Stroke Proforma. If you are referring to the TIA Rapid Assessment Clinic ...
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75 TIA & Stroke Prevention Rapid Access Referral
http://oscarcanada.org/oscar-users/emr-resource/eform/eform-examples/bc-specific/vch-specific-forms/tia-stroke-prevention-rapid-access-referral-vancouver-coastal-health
› bc-specific › vch-specific-forms
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76 Quinte Health Care
https://www.qhc.on.ca/photos/custom/SPC%20Referral%20-%20MAY2013%20complete%20electronically.pdf
Stroke Prevention Clinic. Referral Form ... Appropriate referrals for the Clinic include those ... Date of Transient Ischemic Attack (TIA)/event: ...
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77 Transient Ischaemic Attack - Aaron Optometrists
https://www.aaronoptometrists.com/wp-content/uploads/2019/10/NUTH_TIA-Clinic-Direct-Access_2019_GP-only.doc
Transient Ischaemic Attack: North of Tyne Referral Form for General Practitioners. WHAT IS IT? TIA is ... Fax referral form overleaf to nearest TIA clinic.
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78 Rapid Access TIA (Transient Ischemic Attack) and Stroke ...
https://www.nshealth.ca/content/rapid-access-tia-transient-ischemic-attack-and-stroke-secondary-prevention-clinic
The TIA clinic will also arrange diagnostic tests, if not already completed, ... comprehensive referral to professional collaborative education and programs ...
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79 Referral Process to DHMC TIA Clinic - Dartmouth-Hitchcock
https://www.dartmouth-hitchcock.org/sites/default/files/2020-12/tia-referrals.pdf
› sites › files
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80 Referral pathways for patients with TIA avoiding ... - NCBI
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5318551/
The first was to refer to outpatient TIA clinic using an automatically generated referral form. This contained all the information needed by ...
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81 New Transient Ischaemic Attack (TIA) Referral Form
https://ipswichandeastsuffolkccg.nhs.uk/LinkClick.aspx?fileticket=zsvOoeMvSC0%3D&tabid=335&portalid=1&mid=1337
TIA Referral Practice Briefing Final 280819. New Transient Ischaemic Attack (TIA) Referral Form. Introduction ... (Neurology clinic).
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82 TIA (Transient Ischemic Attack) - Clinical pathways
https://clinical-pathways.org.uk/clinical-pathways/tia-transient-ischemic-attack
In other cases please complete the TIA referral form on the left. ... Patient information leaflet: Understanding my referral to the TIA clinic (double-sided ...
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83 Neurology - London & Region Medical Referrals
https://londonreferral.wordpress.com/neurology/
› neurology
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84 Referral for Suspected Transient Ischaemic Attack
http://www.wakefieldoptometry.org.uk/downloads/TIA_Referral_Form_(Apr2012).pdf
Mid Yorkshire Hospitals Rapid Access TIA/Minor Stroke Service. Referral Form for Community Optometry. How do I refer to the TIA Clinic?
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85 Neurovascular Service | St James's Hospital
https://www.stjames.ie/misa/clinicalservices/neurovascularservice/
How to access this service · How do I confirm my appointment? · What should I bring to my appointment? · Transient Ischaemic Attack (TIA) clinic · Secondary ...
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86 Stroke Prevention - Joseph Brant Hospital
https://www.josephbranthospital.ca/en/programs-and-services/Stroke-Prevention.asp
These forms need to be completed by a physician: JBN Medical Stroke Prevention Clinic Referral Form ... For more information on stroke and TIA:.
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87 TIA (Transient Ischaemic Attack) - GP Portal
https://gp-portal.westhampshireccg.nhs.uk/condition/tia/
If the patient experiences a further event they should call 999 go to ED. • Ask patient to bring current medication / medication list to clinic. Referral ...
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88 TIA / ND Stroke Algorithm and Referral to Provincial ...
https://src.healthpei.ca/sites/src.healthpei.ca/files/stroke/TIA_Algorithm%20.pdf
TIA / ND Stroke Algorithm and Referral to Provincial Secondary Stroke Prevention Clinic (PSSPC). Please fax completed form to: 902-368-5511 Phone: 902-368- ...
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89 Stroke Prevention Clinic Referral Form - Humber River Hospital
https://www.hrh.ca/wp-content/uploads/2018/10/103239-Stroke-Prevention-Clinic-Oct-2021_Proof-1.pdf
Form # 103239, version (10-2021) ... Stroke Prevention Clinic Referral Form ... TIA □ Stroke □ Query TIA/Stroke □ Carotid Stenosis □ Significant Stroke ...
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90 How to Guide - Health in Wales
http://www.wales.nhs.uk/documents/how_to_guide_for_tia.pdf
timely management of TIA. • Assessment and commence investigations within 7 days of onset of symptoms. • Referral if appropriate for carotid investigation.
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91 Stroke - referrals - Guy's and St Thomas' NHS Foundation Trust
https://www.guysandstthomas.nhs.uk/referral-guide/stroke
Please email the stroke service referral form to us. GPs can also phone our helpline. ... Stroke/TIA helpline: 07825 023845. Our helpline is open Monday to ...
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92 Stroke services | University Hospitals of Derby and Burton NHS
https://www.uhdb.nhs.uk/service-stroke/
This service is available 7 days a week. Referring to the Queen's Hospital Burton TIA service. Download rapid access TIA clinic referral form (QHB) [pdf] (opens ...
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93 TIA referral form - GP Website
https://gps.cityandhackneyccg.nhs.uk/news/tia-referral-form
Please use the updated referral form in the CEG reference library when making referrals to the TIA clinic. The form is called RP TIA ...
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94 Stroke Prevention Clinic Consultation Form
https://www.crsn.ca/images/TOH_SPC_Referral.pdf
Incomplete forms will cause delay in processing. Date: Reason for referral: ... Signs/Symptoms suggesting TIA/Minor Stroke: (side R or L).
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95 STROKE PREVENTION CLINIC
https://www.strokenetworkseo.ca/sites/default/files/files/spc_referral_form_feb_2018.pdf
SEO Regional Stroke Prevention Clinic Referral Form. REGIONAL STROKE PREVENTION ... Date of Transient Ischemic Attack (TIA) /event: Date of Referral:.
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