Get the free LLUHS Maternal-Fetal Medicine FAX Referral Form - childrens-hospital lomalindahealth

Sept 2014 LOUIS MaternalFetal Medicine FAX Referral Form **Referring MD/Clinic will continue patient care until patient is seen by MFM MD** **Please do NOT have the ...

How to fill out lluhs maternal-fetal medicine fax

To fill out the lluhs maternal-fetal medicine fax, follow these steps:

1. Start by carefully reviewing the fax form to ensure you understand the information being requested. It is important to provide accurate and complete information.
2. Begin by filling out the patient's demographic information, including their full name, date of birth, gender, and contact information. This information helps identify the patient and ensures that the fax is directed to the correct recipient.
3. Next, provide the referring physician's details, including their name, contact information, and any relevant identification numbers. This information helps establish the source of the referral and facilitates communication between healthcare providers.
4. Specify the reason for the referral in the appropriate section of the form. This might include indications for maternal-fetal medicine consultation, such as advanced maternal age, medical or obstetric complications, abnormal prenatal screening results, or a history of previous pregnancy complications.
5. If applicable, provide details about the pregnancy, such as the gestational age, estimated due date, and any relevant ultrasound findings. This information assists the maternal-fetal medicine specialist in assessing the specific needs and risks associated with the pregnancy.
6. Include relevant medical history, including any pre-existing health conditions, medication use, allergies, and previous obstetric history. This information helps the maternal-fetal medicine specialist evaluate potential risks and tailor their care accordingly.
7. Finally, ensure that all sections of the fax form are completed accurately and legibly. Review the information before sending to minimize errors and ensure swift processing of the referral.

Referring physicians may need to send the fax when they suspect or identify complex maternal or fetal conditions that require expert evaluation or management. This includes situations where the patient's health or the outcome of the pregnancy may be at risk, or when further diagnostic testing or consultation is necessary to provide optimal care.

Healthcare providers who work in a team-based approach to manage pregnancies, such as obstetricians, perinatologists, genetic counselors, or other specialists, may also require the maternal-fetal medicine fax to facilitate collaboration and ensure comprehensive care for their patients.

Overall, the lluhs maternal-fetal medicine fax is an essential tool for healthcare professionals involved in the care of pregnant patients to improve communication, coordination, and access to specialized expertise in the field of maternal-fetal medicine.

For pdfFiller’s FAQs

What is lluhs maternal-fetal medicine fax?

LLUH's Maternal-Fetal Medicine fax number is 555-123-4567.

Who is required to file lluhs maternal-fetal medicine fax?

Healthcare providers and facilities involved in the care of pregnant women may be required to file LLUH's Maternal-Fetal Medicine fax.

How to fill out lluhs maternal-fetal medicine fax?

To fill out LLUH's Maternal-Fetal Medicine fax, providers must include relevant information such as patient demographics, medical history, and details of the pregnancy.

What is the purpose of lluhs maternal-fetal medicine fax?

The purpose of LLUH's Maternal-Fetal Medicine fax is to communicate essential information related to the care of pregnant women and their unborn babies.

What information must be reported on lluhs maternal-fetal medicine fax?

Information such as patient's name, medical record number, gestational age, ultrasound findings, and any relevant medical conditions must be reported on LLUH's Maternal-Fetal Medicine fax.

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