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REFERRAL FORM: Therapy Services Center for Healthy Aging Hamilton Health Sciences St Peters Hospital Site 88 Maple wood Ave. Hamilton, ON L8M 1W9 Phone: 905 521 2100 x12355 Fax: 905 549 5080 Patient
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How to fill out referral form therapy services

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How to fill out referral form for therapy services:

01
Start by gathering all necessary information such as the patient's personal details (name, contact information, date of birth) and their insurance information.
02
Make sure to include the reason for the referral, specifying the type of therapy needed (e.g., occupational therapy, speech therapy, physical therapy).
03
Provide any additional details about the patient's condition or specific goals for therapy that the referring physician or healthcare provider wants the therapist to be aware of.
04
Include the physician's or healthcare provider's information, including their name, contact information, and signature. They may also need to include their credentials or any relevant referral codes.
05
Ensure the referral form is filled out accurately and completely, providing all necessary information requested. Double-check for any spelling errors or missing details that could potentially delay the referral process.

Who needs referral form therapy services:

01
Patients who have been diagnosed with a condition or injury that requires specialized therapy services may need a referral form. This is typically obtained from their primary care physician or healthcare provider.
02
Insurance companies often require a referral form for therapy services to determine coverage and reimbursement. It helps them verify that the therapy is medically necessary and aligns with the patient's treatment plan.
03
Referral forms may also be necessary for coordination of care between different healthcare professionals. For example, if a patient is seeing multiple specialists, each provider may require a referral to ensure effective communication and collaboration in addressing the patient's healthcare needs.
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Referral form therapy services is a document used to refer a patient to receive therapy services from a healthcare provider.
Referral form therapy services can be filed by a healthcare provider, a physician, or a patient's primary care physician.
To fill out a referral form for therapy services, provide the patient's personal information, reason for therapy, type of therapy needed, and any relevant medical history.
The purpose of referral form therapy services is to ensure that patients receive the necessary therapy services in a timely manner.
Information such as patient's name, date of birth, contact information, reason for therapy, type of therapy needed, and referring healthcare provider's information must be reported on the referral form.
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