Patient referral form questions in this example
1. Referring GP Practice Information
The answer should be a multi line text input.
2. Referring Clinician Information
The answer should be a multi line text input.
3. Patient Information
The answer should be a multi line text input.
4. Reason for Referral
The answer should be a multi line text input.
5. Referral Details
The answer should be a multi line text input.
6. Additional Information
The answer should be a multi line text input.
