Get the free uva digestive health referral form

UVA Digestive Health Clinic 1215 Lee Street, Charlottesville, VA 22908 Phone: (434) 2433090 Fax: (434) 2449445NEW PATIENT REFERRAL/CONSULTATIONPlease complete entire form and attach copies of prior

How to fill out uva digestive health referral

1. Before filling out the UVA Digestive Health referral, gather all necessary information such as the patient's personal details, medical history, and symptoms related to their digestive health.
2. Start by filling out the patient's personal information including their name, date of birth, contact information, and insurance details if required.
3. Next, provide the referring provider's information, including their name, address, phone number, and professional credentials.
4. Indicate the reason for the referral by accurately describing the patient's digestive health concerns or specific symptoms they are experiencing. It is important to provide detailed information to help the recipient understand the nature of the referral.
5. Include any relevant medical history or previous diagnostic tests that have been done related to the patient's digestive health. This can include details about previous surgeries, endoscopies, colonoscopies, or imaging studies.
6. If the referring provider has specific recommendations for the evaluation or treatment of the patient's digestive health, make sure to include those in the referral form.
7. Finally, double-check all the information entered on the referral form for accuracy and completeness before submitting it.

Who needs UVA Digestive Health referral?

1. Patients who are experiencing persistent digestive health issues such as abdominal pain, diarrhea, constipation, bloating, or unexplained weight loss may require a UVA Digestive Health referral.
2. Individuals with a family history of digestive disorders or certain genetic conditions related to the gastrointestinal system may also benefit from a referral to UVA Digestive Health.
3. Patients who have received preliminary evaluations or diagnostic tests from their primary care physician but require specialized care or further investigation into their digestive health may be candidates for a UVA Digestive Health referral.

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What is uva digestive health referral?

UVA Digestive Health Referral is a process through which patients are referred to the University of Virginia's Digestive Health program for specialized evaluation, diagnosis, and treatment of gastrointestinal disorders.

Who is required to file uva digestive health referral?

Typically, healthcare providers such as primary care physicians, gastroenterologists, or other specialists who identify the need for further evaluation of digestive health issues are required to file the UVA Digestive Health referral.

How to fill out uva digestive health referral?

To fill out a UVA Digestive Health referral, healthcare providers must complete a referral form that includes patient information, details of the medical condition, clinical history, and any relevant tests or treatments that have been performed.

What is the purpose of uva digestive health referral?

The purpose of the UVA Digestive Health referral is to ensure patients receive comprehensive care and specialized services for gastrointestinal problems, facilitating access to expert evaluation and treatment.

What information must be reported on uva digestive health referral?

The information that must be reported on the UVA Digestive Health referral includes the patient's personal details, medical history, current symptoms, previous relevant tests and their results, and any treatments that have already been administered.