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UCSF RADIATION ONCOLOGY HEAD & NECK NEW PATIENT MEDICAL RECORDS CHECKLIST 1600 Divider Street, Suite H1031, San Francisco, CA 94115 REFERRING MD PLEASE INCLUDE THE FOLLOWING MEDICAL RECORDS FOR YOUR
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01
Gather all necessary information and materials required to fill out the form, such as patient information, treatment details, and any relevant medical records.
02
Begin by entering the patient's personal information accurately, including their name, date of birth, contact details, and any identifying numbers, such as a medical record number.
03
Provide information about the referring physician or healthcare provider, including their name, contact details, and any relevant affiliations or specialties.
04
Fill out the section related to the specific treatment or procedure being requested, such as radiation therapy for a specific type of cancer.
05
Include any relevant diagnosis information, including the stage or severity of the condition, if applicable.
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Provide details about the desired treatment location within the UCSF network, including any preferences or specific requirements.
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If applicable, indicate any particular requests or additional information that should be considered during the treatment planning process.
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Review the filled-out form thoroughly to ensure accuracy and completeness before submitting it.

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The UCSF radiation oncology head is the leader or head of the radiation oncology department at the University of California, San Francisco.
The UCSF radiation oncology head is typically required to file reports regarding the department.
The UCSF radiation oncology head must provide relevant information about the department's activities and performance.
The purpose of the UCSF radiation oncology head is to oversee the operations of the radiation oncology department and ensure quality patient care.
Information such as patient outcomes, research initiatives, and departmental budget may need to be reported on the UCSF radiation oncology head.
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