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Policy and Procedure Manual Diagnostic Services Department of Radiology Diagnostic DivisionSUBJECT/TITLE:SELF AND DIRECT REFERRAL PATIENTS FOR MAMMOGRAPHYPURPOSE:To enable patients to follow ACR Guidelines

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What is self and direct referral?

Self-referral is when a patient refers themselves for a healthcare service, while direct referral is when a healthcare provider refers a patient for a specific service.

Who is required to file self and direct referral?

Healthcare providers and patients may be required to file self and direct referral depending on the healthcare system and regulations in place.

How to fill out self and direct referral?

Self-referral and direct referral forms can typically be filled out online or submitted in person at a healthcare facility. Patients may need to provide personal information and details about their medical condition.

What is the purpose of self and direct referral?

The purpose of self and direct referral is to ensure patients receive appropriate healthcare services in a timely manner by either self-referring or being referred by a healthcare provider.

What information must be reported on self and direct referral?

Self and direct referral forms may require information such as patient demographics, medical history, reason for referral, and healthcare provider information.

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