№ files_lp_3_process_7_045173
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Referral form for dietetic consultation within the NHS system, used by healthcare professionals to refer patients for dietary assessment and guidance.
Year:
2026
Region / City:
Exeter, Devon
Theme:
Dietetics, Health, Nutrition
Document Type:
Referral Form
Organization / Institution:
Royal Devon and Exeter Hospital
Author:
N/A
Target Audience:
GP Practices, Healthcare Professionals
Period of Validity:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Price: 8 / 10 USD
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Note:
Year
Organization / Institution:
Georgia Department of Public Health
Year:
2013
Region / City:
Coventry
Theme:
Dietetics, Mentorship, Education
Document Type:
Guidance Paper
Organization / Institution:
Coventry University
Author:
Hawker, McMillan, Palermo
Target Audience:
Mentors of Dietetic Students
Period of Validity:
N/A
Approval Date:
N/A
Date of Amendments:
N/A
Project Title:
Open Tender for Speech and Dietetic Services for Vanguard Healthcare Pte Ltd (VHPL)’s Care Homes
Tender Reference Number:
VANVHPLITT20001
Tender Roll-Out Date:
20 Jan 2020
Tender Closing Date:
7 Feb 2020, 17:00 hours (SG Time)
Company:
Vanguard Healthcare Pte Ltd
Parent Company:
MOH Holdings Pte Ltd
Sector:
Healthcare
Services:
Speech and Dietetic Services
Duration:
2 years with option to extend 1 year
Region:
Singapore
Target Facilities:
5 Care Homes
Confidentiality Requirement:
Confidentiality Undertaking Letter and Annexure 1
Year:
2022
Region:
Waltham Forest, North East London
Country:
United Kingdom
Organisation:
Waltham Forest Nutrition and Dietetic Service, North East London Foundation Trust
Department:
Community Paediatric Dietetic Service, Department of Nutrition & Dietetics
Document Type:
Referral criteria and clinical guidelines
Subject:
Paediatric dietetic referral requirements and eligibility criteria
Target Group:
Health care professionals referring children under 19 in education
Contact Address:
Chingford Health Centre, 109 York Road, E4 8LF
Telephone:
020 8430 8090
Fax:
020 8430 8091
Website:
www.nelft.nhs.uk
Applicable Population:
Children and young people under 19 years
Scope:
Community paediatric dietetic services in Waltham Forest
Approval Status:
Operational clinical guidance
Referral Form Reference:
ND WF paed referral form FEB 2022
Year:
2023
Region / City:
Not specified
Subject:
Dietetic care for eating disorders
Document Type:
Care plan
Institution:
CAMHS
Author:
Not specified
Target Audience:
Healthcare providers, CAMHS staff
Effective Period:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
Contextual Description
Institution:
Long Island University (LIU) Post, School of Health Professions and Nursing, Department of Nutrition
Program:
Dietetic Internship
Rotation:
Community (COM)
Concentration:
Medical Nutrition Therapy (MNT)
Duration:
Weeks 4–5
Required Hours:
128–160
Document Type:
Internship rotation assignment checklist
Purpose:
Documentation and evaluation of required learning activities during community nutrition rotation
Participants:
Dietetic interns, preceptors, clinical instructors
Evaluation Method:
Checklist verification with initials and signatures of preceptor and clinical instructor
Associated Competencies:
CRDN competencies for dietetics education
Required Submissions:
Written summaries, education materials, project documentation, newsletter article, meeting reaction paper, legislative letter
Supervising Roles:
Preceptor and Clinical Instructor
Field Activities:
Community nutrition assessment, health promotion project, participation in emergency food program organization, attendance at professional meeting
Year:
2023
Region / City:
Penn Yan, NY
Topic:
Mental Health Services, Housing Assistance
Document Type:
Referral Form
Organization:
Yates County Adult SPOA
Author:
Yates County Mental Health Services
Target Audience:
Health and social service providers, individuals with mental health concerns
Effective Period:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
Contextual Description:
A referral form for supportive housing, ACT services, and non-Medicaid care management for individuals with mental health diagnoses in Yates County.
Year:
2023
Region / City:
North Central London
Topic:
Healthcare Referral Form
Document Type:
Referral Form
Organization / Institution:
North Central London
Author:
N/A
Target Audience:
Healthcare professionals
Period of Validity:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Year:
2020
Region / City:
United States
Theme:
Emergency Housing Assistance, COVID-19 Response
Document Type:
Referral Form
Author:
SSVF
Target Audience:
Veterans, SSVF Grantees, Community Stakeholders
Action Period:
During COVID-19 Pandemic
Approval Date:
N/A
Date of Changes:
N/A
Context:
A referral form used for Emergency Housing Assistance under the SSVF program during the COVID-19 crisis, outlining eligibility and procedures for providing temporary housing to at-risk Veterans.
Year:
20XX
Region / City:
Illinois
Topic:
Affordable Housing
Document Type:
Agreement
Organization / Institution:
Illinois Housing Development Authority
Author:
Not specified
Target Audience:
Property Managers, Housing Authorities, Service Providers
Effective Period:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2024
Region / City:
Gwent, Wales
Theme:
Child Safeguarding
Document Type:
Referral Form
Institution / Organization:
Various Local Authorities in Wales
Author:
Not specified
Target Audience:
Professionals involved in child safeguarding
Period of validity:
Not specified
Approval Date:
Not specified
Date of Amendments:
Not specified
Year:
2023
Region / City:
Perth, Australia
Topic:
Psychosocial support, Mental health recovery, Social services
Document type:
Referral form
Organization:
Richmind WA
Target Audience:
Individuals experiencing mental health challenges
Period of validity:
6 to 12 months
Date of approval:
Not specified
Date of amendments:
Not specified
Year:
2023
Region / City:
Inner Eastern Melbourne, Outer Eastern Melbourne, Southern Melbourne, Inner Gippsland, Outer Gippsland
Subject:
Early childhood support, National Disability Insurance Scheme
Document type:
Referral form
Organization / Institution:
National Disability Insurance Scheme (NDIS)
Author:
National Disability Insurance Scheme (NDIS)
Target audience:
Families and carers of children with developmental concerns or disabilities under 9 years old
Period of validity:
Not specified
Approval date:
Not specified
Date of changes:
Not specified
Year:
2025
Region / City:
Wisconsin
Subject:
Referral Process for Nursing Home Residents Regarding Return to the Community
Document Type:
Instructional Form
Agency:
Department of Health Services (DHS)
Author:
Division of Quality of Assurance
Target Audience:
Skilled Nursing Facility (SNF) Staff
Period of Validity:
Not Specified
Approval Date:
Not Specified
Modification Date:
Not Specified
Year:
Not specified
Region / City:
Devon, England
Theme:
Adult ADHD Assessment and Treatment
Document Type:
Referral Form
Organization / Institution:
Harrow Health CIC
Author:
Not specified
Target Audience:
Healthcare professionals, GPs
Period of Validity:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2026
Region / City:
United Kingdom
Topic:
Paediatric fatigue assessment and referral
Document Type:
Referral Form
Organization / Institution:
NHS
Author:
Not specified
Target Audience:
Healthcare professionals
Period of Validity:
Indefinite
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2025
Date:
7 April 2025
Region / City:
Swindon and Wiltshire, Gloucestershire
Country:
United Kingdom
Healthcare System:
NHS
Clinical Area:
Diabetes foot care
Topic:
Diabetic foot ulcer referral pathways
Document Type:
Clinical referral guidance and referral form
Issuing Organizations:
Gloucestershire Hospitals NHS Foundation Trust; Wiltshire Community Podiatry; Swindon Community Podiatry
Target Audience:
General practitioners, community podiatrists, healthcare professionals
Referral Pathways:
Same Day Emergency Care (SDEC); Foot Attack Clinic; Community Podiatry; Vascular Surgery
Urgency Categories:
Urgent referrals; Routine referrals
Associated Services:
Diabetes Foot MDT; Community Diabetes Teams
Clinical Conditions Covered:
Diabetic foot ulceration; infection; ischaemia; Charcot foot; neuropathy
Required Clinical Information:
Patient demographics; diabetes history; comorbidities; ulcer characteristics; investigations; treatments
Investigations Referenced:
Blood tests; wound swab; tissue sample; X-ray; ultrasound
Contact Methods:
Email referrals; ERS submissions; telephone
Period of Applicability:
Ongoing as of April 2025