Fatigue and breathlessness group referral :: Medway Community Healthcare

Fatigue and breathlessness group referral

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Patient details

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First name: *Required

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Next of kin: (name and contact number) *Required

Clinical details

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Current symptoms and issues: *Required

Patient has consented to referral: *Required

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Current medication: *Required

Referrer first name: *Required

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Fatigue and breathlessness group referral