Stoma Appliance Scheme – Tieman tip catheter authorisation form

Stomal therapy nurses should sign this form to authorise a patient who requires a Tieman tip catheter to order it from their stoma association.

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Stoma Appliance Scheme – Tieman tip catheter authorisation form

Save a copy by right-clicking on the download link and saving to your computer. Open the file and then fill in the details.

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Publication date:
Date last updated:
Publication type:
Form
Audience:
General public
Language:
English
Description:

The patient must be assessed by an authorised health professional to rule
out any other underlying problems associated with irrigation issues.

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