Get the free OPBH REFERRAL 02-05-15

*Cannon Memorial Hospital* 436 Hospital Drive, Suite 235 Linville, NC 28646 8287377888 (phone) 8287377606 (fax) REFERRAL FOR BEHAVIORAL HEALTH SERVICES Date: Full Legal Name of Patient: Date of birth:

How to fill out opbh referral 02-05-15

How to fill out opbh referral 02-05-15:

1. Start by writing your name and contact information in the designated fields at the top of the form. This ensures that the referral is linked to the correct individual.
2. Next, provide the necessary details about the referring healthcare provider. Include their name, contact information, and any other requested information. This helps establish a connection between the referring provider and the recipient of the referral.
3. Make sure to accurately document the reason for the referral. Include any relevant medical conditions, symptoms, or concerns that require specialized care. This information helps the receiving provider understand the purpose of the referral.
4. Specify the preferred specialist or clinic to which the referral is being made. If you have a specific provider in mind, provide their name, contact information, and any other relevant details. If you don't have a specific preference, you can leave this section blank.
5. Include any additional information that could be helpful for the receiving provider. This may include relevant medical history, previous treatments, or specific tests or exams that have already been conducted. The more information provided, the better the receiving provider can understand the patient's needs.

Who needs opbh referral 02-05-15:

1. Patients who require specialized medical care beyond the expertise of their primary healthcare provider may need an opbh referral 02-05-15. This referral allows them to seek specialized treatment from a specialist or clinic.
2. Individuals who have been diagnosed with a specific medical condition that requires the expertise of a specialist may need an opbh referral 02-05-15. This ensures that they receive appropriate and targeted care from professionals with specific knowledge in their condition.
3. Patients seeking second opinions on their medical conditions may also benefit from an opbh referral 02-05-15. This allows them to consult with a different healthcare provider to gain additional insights and perspectives on their diagnosis or treatment plan.

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What is opbh referral 02-05-15?

OPBH refers to Outpatient Behavioral Health. Referral 02-05-15 may indicate a specific referral made on February 5, 2015.

Who is required to file opbh referral 02-05-15?

The healthcare provider or facility responsible for the outpatient behavioral health services may be required to file the OPBH referral.

How to fill out opbh referral 02-05-15?

To fill out OPBH referral 02-05-15, one may need to provide details about the patient, referring physician, reason for referral, diagnosis, treatment plan, and any other relevant information.

What is the purpose of opbh referral 02-05-15?

The purpose of OPBH referral 02-05-15 is to facilitate communication and coordination of care between healthcare providers involved in the patient's behavioral health treatment.

What information must be reported on opbh referral 02-05-15?

Information such as patient demographics, referring provider information, reason for referral, diagnosis, treatment plan, and any other pertinent details may need to be reported on OPBH referral 02-05-15.