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File Code: 5100/6180 Date:Dear Physician or Qualified Medical Provider: is a Forest Service employee or prospective employee with the National Forest. This employee may be involved in wild land firefighting
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How to fill out dear physician or qualified

01
Start by addressing the letter to the intended recipient, either as 'Dear Physician' or 'Dear Qualified'.
02
Introduce yourself and your purpose for writing the letter.
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Provide a brief description of the patient's medical condition and any relevant medical history.
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Clearly state the reason for your referral or request for consultation.
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Include any necessary supporting medical documentation or test results.
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End the letter with your contact information and a professional closing.
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Proofread the letter before sending it to ensure clarity and accuracy.

Who needs dear physician or qualified?

01
Healthcare professionals who require a second opinion or specialized medical expertise may need a 'Dear Physician' or 'Dear Qualified' letter.
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Patients who need to be referred to a specialist or seek a consultation from another physician may also need this type of letter.
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Medical institutions or organizations that facilitate the exchange of information between physicians may use such letters in their processes.

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Dear Physician or Qualified Medical Provider: - gacc nifc template instructions

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