FCCC International Patient Services Packet 2017-2025 free printable template

Should you require additional information please do not hesitate to contact me at any time. Kind regards Johana Vanegas MD MBA. If you decide to come to FCCC for care we will share your information with PIM. PIM s Patient Service Manager will contact you to further assist you. Pathology material submitted will involve added cost related to pathology review and sample processing. Relevant diagnostic images e.g. CTs MRI PETs mammograms etc. should be saved in a disc DICOM format. FoxChase. org...

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How to fill out FCCC International Patient Services Packet

1. Obtain the FCCC International Patient Services Packet from the website or reception.
2. Fill out the personal information section, including your full name, date of birth, and contact details.
3. Provide details about your current medical condition and treatment history in the designated section.
4. Include information on your insurance coverage, if applicable.
5. Specify your preferred method of communication and any language preferences.
6. Attach any relevant medical records or documents to support your application.
7. Review the entire packet for accuracy and completeness.
8. Submit the filled Packet via the designated submission method, either electronically or by mail.

Who needs FCCC International Patient Services Packet?

1. International patients seeking treatment at FCCC.
2. Patients who require assistance with medical services in a foreign country.
3. Individuals needing coordination of care and related services while at FCCC.

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What is FCCC International Patient Services Packet?

The FCCC International Patient Services Packet is a document designed to provide essential information and resources for international patients seeking medical treatment at the facility.

Who is required to file FCCC International Patient Services Packet?

International patients seeking medical services at FCCC are required to file the International Patient Services Packet to ensure the proper processing of their medical needs.

How to fill out FCCC International Patient Services Packet?

To fill out the FCCC International Patient Services Packet, patients should follow the instructions provided in the packet, complete all required fields accurately, and submit it along with any necessary documentation related to their medical history.

What is the purpose of FCCC International Patient Services Packet?

The purpose of the FCCC International Patient Services Packet is to streamline the intake process for international patients, ensuring comprehensive care and facilitating communication between the patients and the medical staff.

What information must be reported on FCCC International Patient Services Packet?

The FCCC International Patient Services Packet must include personal identification information, medical history, treatment requests, insurance details, and any other relevant documentation that could assist in the patient's care.