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RHEUMATOLOGY PATIENT REFERRAL FORM Ship to:PatientPhysician 1st order onlyPhysician all orders Other Physician Name: State LIC #: NPI #: Practice Name/Hospital: Address: City: Physician Phone: Physician
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To fill out physician 1st order only, follow these steps:
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- Begin by gathering all necessary information about the patient and their medical history.
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- Ensure you have the required forms and documents needed for the physician 1st order.
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- Review the patient's medical records and previous treatments to understand their current condition.
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- Consult with the patient's primary physician or healthcare provider for any specific instructions or recommendations.
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- Fill out the physician 1st order form accurately and completely, providing the required details such as the patient's name, contact information, diagnosis, prescribed treatments, and any specific medications or procedures required.
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- Double-check all information entered on the form for any errors or missing details.
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- Submit the completed physician 1st order form to the appropriate department or healthcare facility as per the guidelines provided.
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- Keep a copy of the filled-out form in the patient's medical records for future reference.
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- Follow up with the patient and their healthcare provider to ensure the physician 1st order is properly implemented and any necessary actions are taken.

Who needs physician 1st order only?

01
Physician 1st order only is typically needed by patients who require medical treatments, procedures, or medications that can only be initiated or prescribed by a licensed physician. It is often required for complex or specialized medical interventions that necessitate the direct involvement of a qualified healthcare professional. Patients with chronic conditions, critical illnesses, or those undergoing specialized therapies may fall into this category. The need for a physician 1st order can vary depending on the specific medical situation and the healthcare facility's protocols.
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Physician 1st order only is a type of medical order that can only be prescribed by a physician.
Patients who have been prescribed this specific order by their physician are required to file it.
To fill out physician 1st order only, patients need to follow the instructions provided by their physician and accurately document the necessary information.
The purpose of physician 1st order only is to ensure that patients receive the proper medical treatment as prescribed by their physician.
Information such as patient's name, date of birth, diagnosis, medication details, dosages, and instructions must be reported on physician 1st order only.
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