Get the free Pharos Referral Form - Barnardo's - barnardos org

For office use only: Date r/d: Ref. No.: Mat. No.: Board: BARNARD S PHA ROS SERVICE BANGOR — BELFAST — BAINBRIDGE REFERRAL FORM FAMILY DETAILS Family Name Address Postcode Telephone Number FAMILY

How to fill out pharos referral form

How to fill out pharos referral form:

1. Start by providing your personal information such as your name, contact details, and any relevant identification numbers.
2. Specify the reason for the referral in a clear and concise manner. Include any relevant medical information or concerns that may help the recipient understand the purpose of the referral.
3. If applicable, provide details about your current healthcare provider or clinic, including their name, address, and contact information.
4. Fill out any additional sections or questions that are specific to the referral form. These may include questions about your medical history, insurance information, or any special instructions.
5. Review all the information you have provided to ensure accuracy and completeness. Make any necessary corrections or additions before submitting the form.
6. Sign and date the referral form to certify that the information provided is true and accurate.
7. Submit the completed referral form to the appropriate recipient, whether it is your healthcare provider, insurance company, or a specific specialist.

Who needs pharos referral form?

1. Patients who require specialized medical care beyond the capabilities of their primary care physician may need a pharos referral form.
2. Individuals seeking a consultation or treatment from a specific specialist may also require a pharos referral form.
3. Insurance companies often require a pharos referral form to approve coverage for certain medical procedures or treatments. Therefore, individuals who wish to have their expenses covered by insurance may need to fill out a referral form.

Note: The specific requirements for filling out a pharos referral form may vary depending on the healthcare system or institution. It is advisable to carefully read and follow the instructions provided with the form or seek assistance from a healthcare professional if needed.

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