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4956 Lincoln Drive Edina, MN 55436 9529369600 Fax 9529369536 Referral/Treatment Plan Patient Name: Date: Diagnosis: DOB: Precautions: Patient Phone: Surgical Procedure/Test Results: EVALUATE & TREAT
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Who needs creekside referralpad 4indd?
01
Healthcare professionals who want to refer patients to Creekside
02
Creekside medical staff members who need to document patient referrals
03
Patients who want to provide a referral for their family or friends to Creekside
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What is creekside referralpad 4indd?
Creekside referralpad 4indd is a referral pad used by Creekside Medical Clinic to refer patients to other healthcare providers.
Who is required to file creekside referralpad 4indd?
All healthcare professionals at Creekside Medical Clinic are required to fill out and file creekside referralpad 4indd when referring patients.
How to fill out creekside referralpad 4indd?
To fill out creekside referralpad 4indd, healthcare professionals must provide patient information, reason for referral, and contact information of the receiving healthcare provider.
What is the purpose of creekside referralpad 4indd?
The purpose of creekside referralpad 4indd is to ensure a smooth and efficient referral process for patients between healthcare providers.
What information must be reported on creekside referralpad 4indd?
Information such as patient name, date of birth, reason for referral, referring healthcare provider, and receiving healthcare provider must be reported on creekside referralpad 4indd.
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