Page 4 - Liver patient passport
P. 4

Healthcare team





         Use this page to list all relevant information
         related to members of your healthcare team.

         Complete the details below to ensure that your passport is returned to you
         in the event that you lose it. It will also help healthcare team members to understand
         the type of management that you are receiving for your condition.


          Hospital name and
          contact details

          Consultant name
          and contact details

          I am on a transplant
          waiting list            Yes                     No

          Transplant Centre name
          and contact details

          Transplant  Coordinator
          contact details



          Team member          Name and contact number

          GP

          Carer/Next of kin
          Specialist nurse

          Community nurse
          Dietitian

          Social worker






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