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FAX REFERRALS TO: (210) 3445535 PAN CALL: (210) 3445437 DATE: Hearing Screening Needed: Y N ASQ Screening Needed: Y N10609 IH10 West, Ste. 105 * San Antonio, TX 78230 * Tel (210) 3445437CLIENT INFORMATION
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How to fill out fax referrals to 210
How to fill out fax referrals to 210
01
Open the fax referral form to 210.
02
Fill in the sender's information, including name, address, and contact details.
03
Enter the recipient's information, including name, address, and fax number (210).
04
Provide a brief description of the referral in the designated space.
05
Attach any supporting documents if required.
06
Double-check all the entered information for accuracy.
07
Send the filled-out fax referral form to fax number 210.
Who needs fax referrals to 210?
01
Healthcare professionals who need to refer a patient to a specific department at 210.
02
Individuals or organizations requesting services or assistance from the department at 210.
03
Internal employees needing to submit referrals or documentation to the department at 210.
04
Any party authorized to send referrals to 210 for relevant purposes.
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What is fax referrals to 210?
Fax referrals to 210 is a process of submitting referral forms via fax to the designated fax number 210.
Who is required to file fax referrals to 210?
Healthcare providers, medical professionals, and other authorized individuals are required to file fax referrals to 210.
How to fill out fax referrals to 210?
Fax referrals to 210 can be filled out by providing all required information on the referral form and faxing it to the designated number 210.
What is the purpose of fax referrals to 210?
The purpose of fax referrals to 210 is to facilitate the referral process for patients and ensure that necessary information is communicated to the appropriate healthcare provider.
What information must be reported on fax referrals to 210?
Information such as patient demographics, referring provider information, reason for referral, and any relevant medical history must be reported on fax referrals to 210.
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