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3M Center Western University London, ON N6A 3K7FOWLER KENNEDY SPORT MEDICINE CLINIC PATIENT REFERRAL FORM Type / Location of Referral:Orthopedic Surgeons Dr. Get good Knee, Phone: 5196614003 Fax:
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This may include individuals who need to see an orthopaedic specialist for assessment, diagnosis, or treatment of bone, muscle, or joint conditions.
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Common examples include patients referred by their primary care physicians, individuals seeking a second opinion, and those who require ongoing orthopaedic care.
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Our orthopaedic referral is a form used to refer patients to an orthopaedic specialist for further evaluation and treatment.
Healthcare providers, such as physicians or physical therapists, are required to file the orthopaedic referral for their patients.
The orthopaedic referral form typically requires information about the patient's medical history, the reason for the referral, and any relevant diagnostic test results.
The purpose of the orthopaedic referral is to ensure that patients receive appropriate care from an orthopaedic specialist for their musculoskeletal conditions.
Information such as the patient's name, contact information, referring healthcare provider, reason for referral, and any relevant medical history or test results must be reported on the referral form.
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