Get the free ku referral form

Patient Appointment/Consultation Request Format completed form to the Consultation and Referral Services Center at 9135885785. For questions call 9135885862 or 8775885862 or visit kansashealthsystem.com/consult.

How to fill out ku referral form

How to fill out ku referral form

1. Start by obtaining a copy of the KU referral form from the relevant department or organization.
2. Carefully read the instructions provided on the form to understand the required information.
3. Begin by providing your personal details, such as your name, contact information, and any identification numbers requested.
4. Proceed to fill in the necessary information about the person being referred, including their name, contact details, and relevant medical or background information.
5. Clearly state the reason for the referral and provide any supporting documentation or evidence that may be required.
6. If applicable, provide details about the referring individual or organization, such as their name, contact information, and any relevant credentials.
7. Review the completed form and make sure all the required fields are filled out accurately.
8. Once you are satisfied with the information provided, sign and date the form in the designated area.
9. Submit the filled-out referral form to the specified department or individual as indicated on the form.
10. Keep a copy of the completed form for your records.

Who needs ku referral form?

1. The KU referral form is typically needed by healthcare professionals, doctors, or medical facilities when they need to refer a patient to another specialist or department within the same hospital or a different healthcare institution. It can also be required by social workers, counselors, or support organizations when referring individuals to specific programs, services, or resources.

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