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.
Related resources
RNAO coaches can help
Through collaborations with LTC homes, our team of coaches work towards improving resident care and promoting positive workplaces by implementing RNAO’s clinical and healthy work environment best practice guidelines.
Identify where you can improve
Use RNAO's gap (opportunity) analysis tool to help identify where evidence-based best practice recommendations can improve your organization's current practice.