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UC Davis Health Clinical Telehealth Program Referral Guidelines AdultRheumatologyClinical Telehealth Consultations The following is a listing of clinical conditions appropriate for clinical telehealth

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How to fill out clinical telehealth program referral

01

Step 1: Start by accessing the clinical telehealth program referral form.

02

Step 2: Fill out the patient's personal information, including name, date of birth, contact information, and insurance details.

03

Step 3: Provide the reason for the referral and any relevant medical history or documentation.

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Step 4: Indicate the preferred telehealth platform for the patient's virtual visits.

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Step 5: Include any additional information or specific requirements for the referral.

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Step 6: Double-check all the entered information for accuracy.

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Step 7: Submit the completed referral form and await confirmation from the telehealth program.

Who needs clinical telehealth program referral?

01

Anyone who requires medical care or consultation but cannot physically visit a healthcare facility can benefit from a clinical telehealth program referral. This includes individuals who live in remote areas, have limited mobility, or face transportation barriers. Additionally, patients who prefer the convenience and flexibility of virtual healthcare visits may also seek clinical telehealth referrals.

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What is clinical telehealth program referral?

A clinical telehealth program referral is a formal request for a patient to receive healthcare services remotely, utilizing telecommunication technology to connect patients with healthcare providers.

Who is required to file clinical telehealth program referral?

Typically, healthcare providers such as physicians, specialists, or other authorized healthcare practitioners are required to file a clinical telehealth program referral on behalf of their patients.

How to fill out clinical telehealth program referral?

To fill out a clinical telehealth program referral, one must complete the designated referral form by providing patient details, the reason for referral, the services required, and the referring provider's information.

What is the purpose of clinical telehealth program referral?

The purpose of a clinical telehealth program referral is to ensure that patients can access appropriate telehealth services, enabling timely diagnosis, treatment, and continuity of care while utilizing remote communication.

What information must be reported on clinical telehealth program referral?

Information typically required includes patient demographics, the nature of the medical issue, specific telehealth services needed, provider details, and any prior treatments or evaluations.

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