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Designated Assessment Center Referral, Plan, and Summary Form (OCF-11) Use this form for accidents that occur on or after January 1, 1994. Claim Number: Policy Number: Date of Accident: Section 1:

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What is designated assessment centre referral?

Designated assessment centre referral is a process where a healthcare provider refers a patient to a designated assessment centre for further evaluation and treatment.

Who is required to file designated assessment centre referral?

Healthcare providers, such as doctors and specialists, are required to file designated assessment centre referrals.

How to fill out designated assessment centre referral?

To fill out a designated assessment centre referral, healthcare providers must include relevant patient information, medical history, and reason for referral.

What is the purpose of designated assessment centre referral?

The purpose of designated assessment centre referral is to ensure that patients receive appropriate evaluation, diagnosis, and treatment from specialized healthcare professionals.

What information must be reported on designated assessment centre referral?

Designated assessment centre referrals must include patient demographics, medical history, current symptoms, and any relevant test results.

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