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Site:Referral to Postpartum Community Services
Section A and B to be completed by the referring physician or midwife. Call the Postpartum Community Services (PCs) office
closest to the clients home
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How to fill out 103556 referral to postpartum
How to fill out 103556 referral to postpartum
01
Obtain a copy of the 103556 referral to postpartum form.
02
Fill out the patient's personal information, including their name, date of birth, and contact information.
03
Provide the patient's medical history, including any previous pregnancies and medical conditions.
04
Indicate the type of postpartum care needed, such as physical therapy or mental health counseling.
05
Specify the preferred postpartum care provider, if known.
06
Sign and date the referral form.
07
Submit the completed referral form to the appropriate healthcare provider or organization for further processing.
Who needs 103556 referral to postpartum?
01
Any individual who has recently given birth and requires postpartum care can benefit from a 103556 referral. This may include new mothers experiencing physical or emotional difficulties after childbirth.
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What is 103556 referral to postpartum?
103556 referral to postpartum is a form that healthcare providers use to refer patients to postpartum care services.
Who is required to file 103556 referral to postpartum?
Healthcare providers who are caring for patients in the postpartum period are required to file 103556 referral to postpartum.
How to fill out 103556 referral to postpartum?
To fill out 103556 referral to postpartum, healthcare providers need to provide patient information, referral reason, and details of postpartum care services.
What is the purpose of 103556 referral to postpartum?
The purpose of 103556 referral to postpartum is to ensure that patients receive appropriate postpartum care services following childbirth.
What information must be reported on 103556 referral to postpartum?
Information such as patient name, medical history, referral reason, postpartum care services needed, and healthcare provider details must be reported on 103556 referral to postpartum.
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