© 2021 Canadian Malnutrition Task Force
Transitions & Referrals
Checklists and sample referral forms to help convey key details about the patient’s nutrition care plan to other healthcare providers at discharge or transfer.
A checklist to help healthcare providers ensure that nutrition and relevant medical care is communicated appropriately to the receiving health care team.
A simplified Referral Form from Niagara Health used by the hospital registered dietitian to convey key nutrition information about their patient to the dietitian or physician at the receiving healthcare setting.
Example of a Referral Form created by the Home Health Dietitians from Vancouver Coastal Health that includes details related to tube feeding.