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Submit By E-mail Referral Form Admissions Office phone 415. 682. 5682 fax 415. 682. 5689 lhh. referral sfdph. org 375 Laguna Honda Blvd. San Francisco CA 94116 www. lagunahonda.org Please fill out this form completely. Parts A B C may be completed by applicant family member physician social worker hospital discharge planner or community agency representative. Part D must be completed by a physician or other clinician. For a referral to rehab...
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What is lhhreferralsfdphorg form?
The lhhreferralsfdphorg form is a document used for reporting referrals to the Department of Public Health.
Who is required to file lhhreferralsfdphorg form?
Healthcare providers and organizations are required to file the lhhreferralsfdphorg form.
How to fill out lhhreferralsfdphorg form?
You can fill out the lhhreferralsfdphorg form online or by submitting a physical copy to the Department of Public Health.
What is the purpose of lhhreferralsfdphorg form?
The purpose of the lhhreferralsfdphorg form is to ensure that all referrals to the Department of Public Health are properly documented and tracked.
What information must be reported on lhhreferralsfdphorg form?
The lhhreferralsfdphorg form requires information such as patient demographics, reason for referral, and referring provider information to be reported.
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