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Care Coordination Referral Please fill out both pages with as much information as possible. If you do not hear from us within 1 business day, please call (503) 4163731 Date of Referral: REFERRER INFORMATION
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How to fill out care coordination referral

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How to fill out care coordination referral

01
Obtain a care coordination referral form from the relevant healthcare provider or organization.
02
Fill out the referral form with accurate and complete information about the patient requiring care coordination.
03
Provide detailed information about the patient's medical history, current conditions, and any specific care needs or concerns.
04
Include relevant contact information for the patient, their primary care physician, and any other involved healthcare professionals.
05
Submit the filled-out referral form to the designated care coordination department or healthcare provider.
06
Follow up with the healthcare provider or organization to ensure that the referral has been received and processed.
07
Communicate any changes or updates regarding the patient's care coordination needs to the relevant healthcare professionals.

Who needs care coordination referral?

01
Individuals who require coordinated care across multiple healthcare providers.
02
Patients with complex or chronic medical conditions that require ongoing management and coordination of care.
03
Individuals transitioning from one healthcare setting to another, such as from a hospital to home care or rehabilitation.
04
Patients who may benefit from the integration of medical, social, and community services to ensure holistic care.
05
People with disabilities or unique healthcare needs that require support and coordination among different providers.
06
Patients experiencing challenges in accessing or navigating the healthcare system.
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Care coordination referral is a process in which healthcare providers refer patients to other providers or specialists to ensure seamless and coordinated care.
Healthcare providers, care managers, or case managers are required to file care coordination referral.
Care coordination referral can be filled out by providing patient's demographic information, medical history, reason for referral, and any other relevant details.
The purpose of care coordination referral is to ensure that patients receive comprehensive and coordinated healthcare services from multiple providers.
Information such as patient's name, contact information, insurance details, referring provider's information, reason for referral, and any relevant medical records must be reported on care coordination referral.
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