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Gastroenterology Referral Form Fax: 18444899565 Phone: 18552877888 www.performspecialty.comA c e s. O u t c o m e s. Per s o n an l i z e d C are. Patient name: Male Revalidate of birth: Address:
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Services - perform specialty refers to a specific category of professional services offered by qualified individuals or entities in certain fields, such as healthcare, legal, or technical services, aimed at addressing specialized needs.
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The purpose of services - perform specialty is to ensure compliance with regulatory requirements, facilitate quality control, and provide transparency regarding the services offered by professionals in specialized fields.
Information that must be reported includes the type of services offered, provider's qualifications, service fees, client engagement details, and any compliance certifications or licenses.
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