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PHYSICIAN REFERRAL Mercy Pain Center Janesville Mercy Pain CenterWalworth Mercy Pain Center Harvard 1000 Mineral Point Ave. Janesville, WI 53548 (608) 7566049 Fax (608) 7566521 Hays. 50 and 67 Lake
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How to fill out physician referral - mercy?

01
Gather all necessary information: Before filling out the physician referral form, make sure to have all the required information handy. This includes your personal details, such as name, address, contact information, as well as any relevant medical history or condition that needs to be addressed.
02
Contact the referring physician: Reach out to your primary care physician or the healthcare provider who determined that a referral is necessary. Communicate your intention to seek services at Mercy and request a referral. They will guide you through the process and provide any specific forms or documentation required.
03
Obtain the referral form: The referring physician or the healthcare facility will provide you with the specific physician referral form required by Mercy. This form ensures that Mercy receives all the necessary information about your condition and medical history to provide you with the best possible care.
04
Fill out the referral form accurately: Take your time to carefully fill out the referral form. Ensure all personal information is accurate, and provide detailed information about your medical condition or the reason for the referral. Be as specific as possible, including any previous treatments, medications, or relevant test results.
05
Attach any supporting documents: If there are any additional test results, medical records, or reports related to your condition, make sure to attach copies of these documents to the referral form. This will assist the physician at Mercy in evaluating your case thoroughly.
06
Review and verify: Before submitting the referral form, review all the provided information for any errors or missing details. Double-check your contact information and ensure that everything is legible and easy to understand. This will help avoid unnecessary delays or confusion in the referral process.

Who needs physician referral - mercy?

01
Patients seeking specialized care: Individuals who require specialized medical attention, treatment, or surgeries that are not provided by their primary care physicians may need a physician referral to Mercy or another relevant healthcare provider. A physician referral ensures that these patients receive the appropriate level of care from specialists who have expertise in their specific condition.
02
Patients with complex medical conditions: Patients with complex medical conditions, chronic illnesses, or rare diseases may require a physician referral to Mercy. These referrals help connect patients with healthcare professionals who have a deeper understanding of their condition and can provide more specialized care or treatment options.
03
Individuals seeking a second opinion: Patients who wish to seek a second opinion before proceeding with a specific treatment plan or surgery may choose to obtain a physician referral to Mercy. This allows them to consult with experienced physicians at Mercy who can provide an alternative perspective and help them make informed decisions about their healthcare options.
Note: The specific requirements for a physician referral to Mercy may vary depending on the healthcare provider, insurance coverage, and the nature of the medical condition. It is best to consult with your primary care physician or the referring healthcare professional to understand the process and any specific guidelines for obtaining a referral.
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Physician referral - Mercy is a process where a physician recommends or directs a patient to receive care or treatment from Mercy Health.
Physicians, healthcare providers, or facilities referring patients to Mercy Health are required to file physician referral - mercy.
To fill out physician referral - mercy, healthcare providers need to provide patient information, reason for referral, and any relevant medical history.
The purpose of physician referral - mercy is to facilitate communication between healthcare providers, ensure continuity of care, and improve patient outcomes.
Patient demographics, reason for referral, referring physician information, relevant medical history, and any specific instructions for Mercy Health providers.
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