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OUTPATIENT MEDICAL REFERRAL This service is for doctors who are requesting information, advice, and management of their patients alcohol and drug issues. REFERRING DOCTOR NAME: ADDRESS: PHONE: FAX:
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Outpatient medical referral is a recommendation from a primary care physician for a patient to see a specialist or receive certain medical services outside of a hospital setting.
Patients are required to have a referral from their primary care physician in order to see a specialist or receive certain medical services outside of a hospital setting.
Outpatient medical referrals can be filled out by the primary care physician or their office staff and must include specific information about the recommended specialist or medical service.
The purpose of outpatient medical referral is to ensure that patients receive appropriate and coordinated care from specialists or medical facilities outside of the primary care setting.
Outpatient medical referrals must include the patient's demographics, medical history, reason for referral, recommended specialist or medical service, and any relevant test results.
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