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Date: / / REGIONAL OBSTETRIC CONSULTANTS REFERRAL REQUEST FAX TO: 8557784813PHONE: 9043987684PATIENT DEMOGRAPHIC INFORMATION Name: DOB: / / Age: SSN: Contact # (s): INSURANCE INFORMATION Insurance
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Regional obstetric consultants are specialized healthcare professionals who provide expertise and support to pregnant women, particularly those with high-risk pregnancies.
Healthcare facilities and providers who offer obstetric care services are required to file regional obstetric consultants.
Regional obstetric consultants can be filled out by providing detailed information about the healthcare facility, obstetric care services offered, number of high-risk pregnancies managed, outcomes of the pregnancies, and any recommendations for improvements.
The purpose of regional obstetric consultants is to ensure that pregnant women receive high-quality care, especially those with complex medical conditions or pregnancy complications.
Information such as the number of high-risk pregnancies managed, outcomes of the pregnancies, any maternal or fetal complications, and recommendations for improving obstetric care services must be reported on regional obstetric consultants.
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