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31. We give structured assessments, order appropriate investigations, reach an accurate diagnosis and then make the relevant treatment or referral.

32. The study also confirms that referral rates are lower in areas where there is no local renal unit nearby.

33. Referral to an assessment panel may come from staff or parents or external agencies.

34. Families that were down on their luck could get a small loan, food, a job referral.

35. Therapeutic counselling for long-term problems - these may be triggered by the fertility problem and sometimes need outside referral to marital therapy.

36. In the case of referral to a dietitian or chiropodist the database dispatches brief details to the relevant department.

37. The usual pattern of referral and case allocation is unsuited to highly mobile families.

38. Others managed to negotiate favourable terms with their existing providers, thus achieving savings without affecting referral patterns.

39. Effective community care must provide a mechanism which allows easy and appropriate referral to and from hospital clinics.

40. Marinker etal have recommended the development of protocols for referral between general practitioners and consultants.

41. Secondly, transport of such critically ill patients to regional referral centres should be considered and discussed early in the clinical course.

42. The study aimed to review referral patterns and assess the cost effectiveness of oesophageal manometry in clinical practice.

43. In John's case the stated reason for referral for formal assessment was his behaviour in school.

44. Some severe cases require psychiatric treatment and / or referral to a pain center.

45. Physicians are an integral part of the referral system in the community.

46. Even private investors of modest means can use offshore centres for tax referral.

47. Some of these patients benefit from referral to a chronic pain center.

48. This raises the question of the role of the specialist agency in relation to the generalist and the development of a referral system.

49. These services could include prescribing certain medications and the referral of patients to medical specialists.

50. This situation has enormous implications for all patients who require an extra contractual referral based on clinical need.

51. Conclusions - Over half the children presenting to this referral hospital with respiratory symptoms were hypoxaemic.

52. There are likewise signs at the referral stage of closer liaison with other agencies.

53. The referral means a further court appearance on July 14 when officials will decide on a date for trial.

54. Frequently, then, an unspecific referral was subsequently considered a psychosis.

55. It can also be enlightening to ask about the circumstances of the original referral.

56. The differences between action and control samples at the time of referral was unexpected.

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57. In addition referral procedures and working methods exhibit considerable variation.

58. If the grounds of referral were disputed by either parents or children, the Panel would have two options.

59. Selection of patients for treatment is largely dependent upon referral from a district centre.

60. An obvious candidate for inclusion in these tables is the delay between referral and first appointment in outpatient clinics.