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UW MEDICINE Referral Request
Thank you for referring your patient to UW Medicine. This form is to be completed by the outside referring provider or designee.
For information about making referrals
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How to fill out uw medicine referral request

How to fill out uw medicine referral request
01
Start by opening the UW Medicine referral request form.
02
Fill out the patient's personal information such as name, date of birth, and contact details.
03
Provide the patient's medical history and relevant diagnoses.
04
Specify the reason for the referral and the type of specialist required.
05
Include any supporting documents or medical reports that may be necessary.
06
If you have a preferred specialist or clinic at UW Medicine, mention it in the request.
07
Ensure all the information provided is accurate and complete.
08
Submit the referral request form through the designated method mentioned on the form or on the UW Medicine website.
09
Wait for a response from UW Medicine regarding the referral and further instructions.
10
Follow any additional directions given by UW Medicine to complete the referral process.
Who needs uw medicine referral request?
01
Anyone who wishes to seek specialized medical care at UW Medicine may require a referral request.
02
Patients who have been seeing a primary care physician or another healthcare provider and need additional specialized treatment or consultation can benefit from a referral request.
03
Certain insurance plans or healthcare networks may have specific requirements where a referral request to UW Medicine is necessary.
04
It is recommended to check with your insurance provider or primary care physician to determine if a referral is needed before seeking care at UW Medicine.
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What is uw medicine referral request?
UW Medicine referral request is a form used to request specialist medical care or services from UW Medicine providers.
Who is required to file uw medicine referral request?
Patients who require specialized medical care or services from UW Medicine providers are required to file a UW Medicine referral request.
How to fill out uw medicine referral request?
To fill out a UW Medicine referral request, patients need to provide their personal information, medical history, reason for referral, and any relevant medical documents.
What is the purpose of uw medicine referral request?
The purpose of UW Medicine referral request is to facilitate the transfer of patients to UW Medicine providers for specialized medical care or services.
What information must be reported on uw medicine referral request?
The information that must be reported on a UW Medicine referral request includes patient's personal information, medical history, reason for referral, and any relevant medical documents.
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