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WOMEN IS WAY REFERRAL NORTH DAKOTA DEPARTMENT OF HEALTH DIVISION OF COMMUNITY & HEALTH SYSTEMS SON 58929 (102017)To be completed by the health care provider: Does the woman live in North Dakota? No
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How to fill out womens way referral
How to fill out womens way referral
01
To fill out a womens way referral, follow these steps:
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Start by gathering all the necessary information, such as the woman's full name, contact information, and any relevant medical history.
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You will also need to provide your own contact information as the referrer.
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Next, complete the referral form provided by womens way. Make sure to fill out each section accurately and completely.
05
If there are any specific reasons for the referral or additional notes, include them in the appropriate section of the form.
06
Double-check that all the information provided is correct and legible.
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Finally, submit the completed referral form to womens way through their preferred method, which may be by mail, fax, or online submission.
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Please note that the exact process and requirements for filling out a womens way referral may vary depending on your location and the specific guidelines provided by womens way. It is recommended to refer to their official website or contact womens way directly for more detailed instructions.
Who needs womens way referral?
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Women who require access to the services provided by womens way may need a womens way referral. This includes women who are seeking reproductive health services, including but not limited to:
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- Routine gynecological exams
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- Contraception counseling and prescriptions
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- Screening and testing for sexually transmitted infections (STIs)
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- Pregnancy testing and counseling
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- Referrals for prenatal care or abortion services
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- Breast and cervical cancer screenings
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- Menopause management
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It is important to note that the specific eligibility criteria for womens way services may vary. It is recommended to refer to their official website or contact womens way directly for more information on who qualifies for their services and how to obtain a referral.
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What is womens way referral?
Womens way referral is a program that provides free breast and cervical cancer screening services to eligible women.
Who is required to file womens way referral?
Healthcare providers and facilities that provide breast and cervical cancer screening services are required to file womens way referral.
How to fill out womens way referral?
To fill out womens way referral, healthcare providers need to accurately report the details of the screening services provided to eligible women.
What is the purpose of womens way referral?
The purpose of womens way referral is to ensure that eligible women have access to free breast and cervical cancer screening services.
What information must be reported on womens way referral?
Information such as the type of screening services provided, date of service, and patient demographics must be reported on womens way referral.
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