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PHONE: 7709299033 FAX TO: 6787500211 Ninepins.comNorthReferring Provider: Office Contact: Please send the following information if available (check if attached): Demographic Sheet OR Complete Patient

How to fill out referring provider office contact

How to fill out referring provider office contact

1. Collect all the necessary information about the referring provider office contact.
2. Start by entering the full name of the referring provider office contact in the designated field.
3. Enter the contact's job title or position within the referring provider office.
4. Provide the office contact's direct phone number or extension.
5. Include the contact's email address if available.
6. If applicable, input the fax number of the referring provider office contact.
7. Add any additional relevant contact details that are required.
8. Review and double-check the accuracy of the filled-out information.
9. Save the completed form or submit it as directed.

Who needs referring provider office contact?

1. Any individual or organization that requires communication or interaction with the referring provider office would need the referring provider office contact information.
2. This may include patients, other healthcare providers, insurance companies, medical consultants, or anyone involved in the coordination of patient care or medical referrals.

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What is referring provider office contact?

Referring provider office contact refers to the contact information of the healthcare provider who referred a patient for a particular service or treatment.

Who is required to file referring provider office contact?

Healthcare facilities and organizations are usually required to file referring provider office contact to maintain proper documentation and communication.

How to fill out referring provider office contact?

Referring provider office contact can be filled out by including the name, address, phone number, and any other relevant contact information of the referring provider.

What is the purpose of referring provider office contact?

The purpose of referring provider office contact is to establish a line of communication between healthcare providers involved in a patient's care and to ensure proper coordination of services.

What information must be reported on referring provider office contact?

Information such as the referring provider's name, specialty, contact information, and the reason for the referral must be reported on referring provider office contact.