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Canada Dr. Sterling Desmond Acupuncture Referral Form 2014-2025 free printable template

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ACUPUNCTURE REFERRAL FORM Referring Physician: Address: Phone: Fax: FAX to: 1-250-941-8778 For Completion by Referring Physician: I wish to refer my patient to receive acupuncture treatments. Date
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How to fill out Canada Dr Sterling Desmond Acupuncture Referral

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How to fill out an acupuncture referral:

01
First, gather all necessary personal and medical information of the patient, including their name, contact details, date of birth, and insurance information.
02
Confirm the patient's need for acupuncture treatment by assessing their medical condition and determining if it aligns with the ailments that acupuncture can effectively treat.
03
Consult the patient's primary care provider or specialist to obtain a referral for acupuncture treatment, if required by their insurance or healthcare system.
04
Fill out the acupuncture referral form provided by the insurance company or healthcare facility. Ensure accuracy and completeness while providing the patient's information, medical history, diagnosis, and the reason for the referral.
05
Obtain any supporting documentation or medical records that may be necessary to accompany the referral form.
06
Review the referral form and attachments, verifying that all information is clear, legible, and accurate.
07
Submit the completed acupuncture referral form along with any required documentation to the designated recipient, such as the insurance company, healthcare provider, or acupuncture clinic.

Who needs acupuncture referral?

01
Patients seeking acupuncture treatment covered by their insurance often require a referral from their primary care provider or specialist. The specific requirements may vary depending on the insurance company and the healthcare system.
02
Some healthcare providers or insurance plans have specific criteria that must be met before approving acupuncture treatment, making a referral necessary.
03
In certain cases, patients with complex medical conditions or chronic illnesses may need a referral to ensure coordinated care and appropriate treatment.
Note: It is essential to consult the patient's insurance company, healthcare provider, or relevant guidelines to determine if a referral is necessary in the specific context.
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People Also Ask about

The acupuncturist will ask about your medical history and symptoms. They'll also do an exam — similar to what you'd experience in a doctor visit. In addition, they may look at your tongue. This is a way for them to find any imbalances in your body.
Coverage Guidelines Mass General Brigham Health Plan covers medically necessary chiropractic services for the treatment of neuromuscular and/or musculoskeletal illnesses, injuries, conditions, or disorders including: 1.
Not all providers can give acupuncture, and Medicare can't directly pay Licensed Acupuncturists for their services. Medicare also doesn't cover acupuncture (including dry needling) for any condition other than chronic low back pain.
MassHealth provides a total of 20 sessions of acupuncture for the treatment of pain per member per year without prior authorization. If the member's condition, treatment, or diagnosis changes, the member may receive more sessions of medically-necessary acupuncture treatment with prior authorization.
Acupuncture points are believed to stimulate the central nervous system. This, in turn, releases chemicals into the muscles, spinal cord, and brain. These biochemical changes may stimulate the body's natural healing abilities and promote physical and emotional well-being.
Two specific contraindications deserve special mention: patients with an AICD should avoid any electromagnetic stimulation that might be used as a form of acupuncture. Also, it is not recommended that patients that suffer or are predisposed to suffer from psychosis or delusions undergo acupuncture as well.

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The Canada Dr Sterling Desmond Acupuncture Referral Form is a document used by healthcare professionals to refer patients for acupuncture treatment. It ensures that the practitioner has all the necessary information to provide appropriate care.
Healthcare practitioners who wish to refer patients to acupuncture services are required to file the Canada Dr Sterling Desmond Acupuncture Referral Form.
To fill out the Canada Dr Sterling Desmond Acupuncture Referral Form, practitioners must provide patient details, including personal information, medical history, and specific reasons for the referral, ensuring all required fields are completed accurately.
The purpose of the Canada Dr Sterling Desmond Acupuncture Referral Form is to facilitate communication between referring healthcare professionals and acupuncturists, ensuring that patients receive appropriate and coordinated care.
The Canada Dr Sterling Desmond Acupuncture Referral Form must report information such as the patient's personal details, diagnosis, treatment history, and any relevant medical conditions that may impact acupuncture treatment.
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