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Check all that apply: Oregon Department of Human Services Residence Information Transition InformationContinuity of Care Referral PCP Request ECC Referral Eff. Date:Prepaid Health Plan:Datelines Name

How to fill out continuity of care referral

How to fill out continuity of care referral

1. To fill out a continuity of care referral, follow these steps:
2. Gather the necessary information about the patient who needs the referral, such as their full name, contact information, and medical history.
3. Obtain the referral form from the appropriate healthcare provider or facility.
4. Fill in the patient's personal details, including their name, date of birth, and social security number.
5. Provide information about the referring healthcare provider, including their name, contact information, and specialty.
6. Include details about the patient's current healthcare condition and the reason for the referral.
7. Specify any specific healthcare services or specialists required for the patient's continuity of care.
8. Sign and date the referral form.
9. Submit the completed referral form to the appropriate party, such as a healthcare provider, insurance company, or medical facility.
10. Keep a copy of the referral form for your records.
11. Follow up with the receiving party to ensure that the referral has been received and processed.

Who needs continuity of care referral?

1. The continuity of care referral is typically needed for patients who require ongoing medical treatment or specialized care that cannot be provided by their primary healthcare provider alone.
2. This may include individuals with chronic health conditions, complex medical histories, or the need for specific medical procedures or consultations.
3. Patients who are transitioning between healthcare providers or facilities may also require a continuity of care referral to ensure a seamless transfer of medical records and treatment plans.
4. Additionally, individuals who are seeking a second opinion or access to specialized healthcare services may also need a continuity of care referral.

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What is continuity of care referral?

Continuity of care referral is a process by which a patient's primary care physician refers them to a specialist or another healthcare provider, ensuring seamless and coordinated care.

Who is required to file continuity of care referral?

The primary care physician is typically required to file the continuity of care referral.

How to fill out continuity of care referral?

To fill out a continuity of care referral, the primary care physician needs to provide relevant patient information, reason for referral, and any necessary medical records.

What is the purpose of continuity of care referral?

The purpose of continuity of care referral is to facilitate communication between healthcare providers, ensure the patient receives appropriate care, and avoid gaps in treatment.

What information must be reported on continuity of care referral?

The continuity of care referral should include patient demographics, medical history, reason for referral, current medications, and any relevant test results.