Diabetes foot risk assessment triage referral example: Appendix G

This risk assessment triage referral form is an example form for primary health providers to utilize when requesting referrals to a specialized wound care team.

Reference: Registered Nurses’ Association of Ontario, (2024). Appendix G of Diabetic foot ulcers: Prevention, assessment and management, Third edition. Toronto, Canada: Author. pp. 113.

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From: Diabetic foot ulcers: Prevention, assessment and management
From: Pressure injury management: Risk assessment, prevention and treatment