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University of Illinois Chicago Center for Veterinary Medicine PATIENT REFERRAL FORM CHICAGO CENTER FOR VETERINARY MEDICINE REFERRING VETERINARIAN INFORMATION Doctor Hospital Behavior Address Office
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Download a patient referral is the process of transferring a patient's medical records or information from one healthcare provider to another.
Both the sending and receiving healthcare providers are required to file a download a patient referral to facilitate the transfer of patient records.
To fill out a download a patient referral, healthcare providers need to include the required patient information such as name, date of birth, medical history, and reason for the referral. They may also need to provide any relevant test results or imaging reports.
The purpose of download a patient referral is to ensure continuity of care for the patient and to provide the receiving healthcare provider with necessary medical information to make informed decisions about the patient's treatment.
A download a patient referral typically includes the patient's personal information, medical history, previous treatments, current medications, allergies, and any relevant diagnostic test results or imaging reports.
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Related Links

Referrals, Billing, Records & Other Resources
Welcome to Referral+, UIC College of Dentistry's new online referral system. · Securely and accurately send us your dental patient referral including radiographs ...
Referral Services - Veterinary Medicine at Illinois
REFERRAL DATA FORM. Once you or the client has called to schedule the appointment, use this form when referring a patient to the Veterinary Teaching Hospital.
Medical Records Requests
Request Medical Records, Request Radiology Imaging, Billing Questions. Patients: call 312.996.1000 or send an email to billinfo@uic.edu.

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