Get the free ReferralAdmission Packet To Fairview and Merrick Community - frsinc

Referral/Admission Packet To Fairview and Merrick Community Residence Fairview Recovery Services, Inc. is committed to delivering a continuum of services to individuals with the disease of alcoholism,

How to fill out referraladmission packet to fairview

How to Fill Out Referral/Admission Packet to Fairview:

1. Obtain the referral/admission packet from Fairview Hospital or download it from their website, if available.
2. Fill out the patient's personal information such as their full name, date of birth, address, and contact details.
3. Provide the patient's insurance information including the type of insurance, policy number, and any necessary authorization or referral codes.
4. Complete the medical history section by providing accurate information about the patient's previous illnesses, surgeries, and ongoing medical conditions.
5. Include a list of current medications the patient is taking, including prescribed medications, over-the-counter drugs, and supplements.
6. Fill out the emergency contact information, ensuring that the listed person is readily available and aware of their role.
7. Indicate any known allergies or sensitivities the patient may have, especially to medications or specific types of treatments.
8. Include any relevant medical records, laboratory results, or imaging studies if they are required for the referral/admission process.
9. Check all the completed sections for accuracy and completeness before submitting the referral/admission packet to Fairview Hospital.
10. Keep a copy of the referral/admission packet for your records.

Who Needs Referral/Admission Packet to Fairview:

1. Patients who have been referred to Fairview Hospital by their primary care physician, specialist, or another healthcare provider.
2. Individuals seeking admission to Fairview for specialized medical care or treatment.
3. Patients who are transferring from another healthcare facility to Fairview Hospital for continuity of care or specialized services.

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What is referraladmission packet to fairview?

The referral/admission packet to Fairview is a set of documents required to be submitted when referring a patient for admission to Fairview.

Who is required to file referraladmission packet to fairview?

Any healthcare professional or facility referring a patient for admission to Fairview is required to file the referral/admission packet.

How to fill out referraladmission packet to fairview?

The referral/admission packet can be filled out by providing all necessary information about the patient, their medical history, and the reason for referral/admission to Fairview.

What is the purpose of referraladmission packet to fairview?

The purpose of the referral/admission packet is to ensure that all relevant information about the patient is provided to Fairview in order to facilitate the admission process.

What information must be reported on referraladmission packet to fairview?

The referral/admission packet must include the patient's personal information, medical history, current condition, reason for referral/admission, and any relevant documentation.