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Referral form Breast Augmentation Cosmetic surgery surgery undertaken exclusively to improve appearance will not normally be commissioned in the absence of previous trauma disease or congenital deformity. Trauma to breast during/after development. Congenital amastia total failure of breast Morphology Date Measurements taken Height BMI Fullest part of breast measurement Under-bust CP69 Specialised Services Policy Breast Surgery Procedures Page 1 of 2 Bra size Other factors to be considered...
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How to fill out referral form breast augmentation

01
Gather all necessary information such as your personal details, medical history, and any relevant insurance information.
02
Obtain a referral form from your primary care physician or a specialist like a plastic surgeon.
03
Carefully fill out the referral form by providing accurate and complete information.
04
Ensure to include information about the specific reason for seeking breast augmentation and any desired outcome.
05
Attach any supporting documents such as medical records or test results that may be required.
06
Review the completed referral form to ensure all sections are filled out correctly.
07
Submit the referral form to the appropriate healthcare provider or insurance company.
08
Follow up with the provider or insurance company to confirm receipt and processing of the referral form.
09
If necessary, schedule an appointment with a plastic surgeon or specialist as directed through the referral process.
10
Attend the scheduled appointment and bring along the referral form for the healthcare provider's reference.

Who needs referral form breast augmentation?

01
Individuals who are considering breast augmentation surgery as a means to enhance their appearance or address a cosmetic concern.
02
Individuals who have discussed breast augmentation with their primary care physician or a specialist and have been advised to complete a referral form.
03
Individuals who are covered by insurance plans that require a referral form to be completed before authorizing breast augmentation surgery.
04
Those who want to ensure proper coordination of care between their primary care physician and the plastic surgeon performing the breast augmentation procedure.
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Referral form for breast augmentation is a document that is required to be filled out by a healthcare professional recommending a patient for breast augmentation surgery.
A healthcare professional such as a plastic surgeon or physician is required to file the referral form for breast augmentation.
To fill out the referral form for breast augmentation, the healthcare professional must provide the necessary patient information, medical history, and reasons for recommending the surgery.
The purpose of the referral form for breast augmentation is to document the recommendation from a healthcare professional for the patient to undergo breast augmentation surgery.
The referral form for breast augmentation must include the patient's personal information, medical history, current health status, reasons for recommending surgery, and any relevant test results or imaging studies.
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