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11.
Patient Referral
Chapter Chair/Editor:Clement J. McDonald, MD
Registries Institute and Indiana University School of MedicineChapter Chair/Editor:Hans Buitendijk
Shared Medical SystemsChapter Chair/Editor:Gunther
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How to fill out 11 patient referral
How to fill out 11 patient referral
01
Gather all necessary information about the patient, such as their personal details, medical history, and reason for referral.
02
Open the 11 patient referral form.
03
Start by entering the patient's name, date of birth, and contact information in the designated fields.
04
Fill out any required demographic information, such as gender, marital status, and race/ethnicity.
05
Provide details about the patient's medical history, including past illnesses, surgeries, medications, and allergies.
06
Describe the reason for referral, including the symptoms or medical condition that requires specialized care.
07
If applicable, indicate any tests or diagnostic results that have been done already.
08
Include any relevant imaging or lab reports by attaching them to the referral form.
09
Specify the preferred specialist or healthcare provider to whom the patient is being referred.
10
Review the completed form for accuracy and completeness.
11
Finally, submit the referral form as per the instructions provided by your healthcare organization.
Who needs 11 patient referral?
01
Patients who require specialized medical care beyond the capabilities of their primary healthcare provider.
02
Patients with complex medical conditions that require consultations or treatments from specialists.
03
Patients who need to undergo specific tests, procedures, or surgeries that can only be performed by certain healthcare professionals.
04
Patients who are seeking a second opinion from a specialist.
05
Patients who are transitioning from one healthcare facility to another and need a referral for continuity of care.
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