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6.0 REFERRALS TO SPECIALTY CARE PROVIDERS Enter or search for the Referred To Individual Provider PIN/NPI In the Diagnosis Information section: Enter or search for a Principal Diagnosis code In the
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How to fill out 62 paper referral form
How to fill out a 62 paper referral form:
01
Start by entering your personal information in the designated fields. This may include your name, address, phone number, and email address.
02
Proceed to fill in the details of the person you are referring. Include their name, contact information, and any relevant background information.
03
Provide a brief description of why you are referring this individual. This could be for a job opportunity, a service they require, or any other relevant reason.
04
Specify any important requirements or qualifications that the referred person should possess.
05
If applicable, indicate any specific departments or individuals within the organization that the referral should be directed to.
06
Sign and date the referral form to validate your submission.
07
Submit the completed form to the appropriate person or department as instructed.
Who needs a 62 paper referral form:
01
Employers: Companies or organizations that have a formal referral program in place may require a 62 paper referral form to be filled out by employees who wish to recommend potential candidates for job openings within the company.
02
Employment agencies: Staffing agencies or recruitment firms might use a 62 paper referral form as a way for their clients to recommend individuals who are seeking employment.
03
Service providers: Some professional service providers, such as contractors or consultants, may ask their clients to fill out a 62 paper referral form to refer them to other potential clients or projects.
04
Social service organizations: Non-profit organizations or community services may utilize a 62 paper referral form to enable individuals to refer others who are in need of assistance or support.
Note: The specific usage and need for a 62 paper referral form may vary depending on the organization or industry. It is important to always follow the instructions provided by the entity requesting the referral.
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