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Best Time to call Fax no. E-mail Urgency of Referral Type of Consultation Requested Physician Signature CLINICAL INFORMATION Reason for referral / Expected outcome ie. THC does track purchasing history for medical purposes. TRAUMA HEALING CENTERS REFERRAL FORM PATIENT INFORMATION Name Mr. Mrs. Address P. O. box City Miss Ms. Birth date MM/DD/YYYY Health no. Home phone no. Province Postal Code Sex E-mail Address REFERRING PHYSICIAN Phone no. Assessment investigation treatment second opinion...
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Booking an appointment involves scheduling a specific date and time to meet with a professional or service provider.
Anyone who wishes to meet with the professional or service provider must file to book an appointment.
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The purpose of booking an appointment is to ensure that there is dedicated time set aside to address a specific issue or receive a service.
Information such as name, contact information, reason for appointment, and preferred date and time may need to be reported when booking an appointment.
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