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LINKAGE TO CARE REFERRAL FORM FOR ARTAS INTERVENTION AND HIV MEDICAL CARE LINKAGE PATIENT INFORMATION First Name Last Name Date Street Address Apartment/Unit City State GA Phone Alternate Date of Birth ZIP Race Ethnicity EXAM INFORMATION Oraquick Exam Date / HIV Elisa Last in HIV Medical Care Previous HIV Confirmatory Last TB TB Exam Results Infectious Name of TB Provider Name of HIV COMMENTS PLEASE INCLUDE ADDITIONAL CONTACT INFORMATION IF APPLI...
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What is linkage to care referral?
Linkage to care referral is a process of connecting individuals to appropriate healthcare services or resources after their initial diagnosis or identification of a health condition.
Who is required to file linkage to care referral?
Healthcare providers, such as doctors or specialists, are usually responsible for filing linkage to care referrals for their patients.
How to fill out linkage to care referral?
To fill out a linkage to care referral, healthcare providers typically need to provide relevant patient information, diagnosis, and recommended healthcare services or resources.
What is the purpose of linkage to care referral?
The purpose of a linkage to care referral is to ensure that individuals receive timely and appropriate healthcare services, follow-up care, or access to necessary resources.
What information must be reported on linkage to care referral?
A linkage to care referral usually requires information such as the patient's name, contact details, diagnosis, healthcare provider information, recommended services or resources, and any necessary supporting documentation.
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