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REFERRAL AND CONSULTATION FAX FORM
Outpatient Oncology New Patient Referral
St Catherine Site
1200 Fourth Avenue, St. Catharines, ON L2S 0A9
Phone: 9056847271 ext. 43804
Fax: 9056851201
ext. 43805PATIENT
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What is referral and consultation fax?
Referral and consultation fax is a document used to communicate medical information between healthcare providers.
Who is required to file referral and consultation fax?
Healthcare providers involved in a patient's care are required to file referral and consultation fax.
How to fill out referral and consultation fax?
Fill out the form with the patient's information, the reason for the referral/consultation, and any relevant medical history.
What is the purpose of referral and consultation fax?
The purpose of referral and consultation fax is to facilitate communication between healthcare providers and ensure continuity of care for the patient.
What information must be reported on referral and consultation fax?
The referral/consultation reason, patient information, relevant medical history, and any specific instructions for the receiving provider.
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