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Reset Form COPD & Heart Failure Telehomecare Referral Form Print Form Please fax referral form(s) to: 705-522-3855 SHIP BILLING CODE FOR CCC REFERRALS: K070 If required, Telehomecare staff will fax
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What is otn telehomecare referral form?
The otn telehomecare referral form is a document used to refer patients to the Ontario Telemedicine Network (OTN) Telehomecare program.
Who is required to file otn telehomecare referral form?
Healthcare professionals, such as doctors, nurses, and other authorized healthcare providers, are required to fill out and submit the otn telehomecare referral form.
How to fill out otn telehomecare referral form?
To fill out the otn telehomecare referral form, healthcare professionals must provide the necessary patient information, including their contact details, medical history, current condition, and any relevant supporting documents.
What is the purpose of otn telehomecare referral form?
The purpose of the otn telehomecare referral form is to provide a referral for patients to receive telehomecare services through the Ontario Telemedicine Network.
What information must be reported on otn telehomecare referral form?
The otn telehomecare referral form requires information such as the patient's name, address, contact details, medical history, current condition, and any other relevant medical information.
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