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Larger Medical Building 4010 Aerial Way Eugene, OR 97402 Phone: (541) 2428474 FAX: (541) 2428335AUDIOLOGY REFERRAL REQUISITION OFFICE USE ONLY: FAXED REQUISITION: APT DATE: REFERRAL STATUS: # OF VISITS:
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How to fill out outpatient formrapy-barger medical building

01
Start by gathering all the necessary information, such as your personal details, medical history, and insurance information.
02
Obtain the outpatient therapy form from the Barger Medical Building or download it from their website.
03
Read the instructions carefully before filling out the form.
04
Begin by entering your full name, date of birth, and contact information in the designated fields.
05
Provide accurate details about your medical condition, including the diagnosis and any relevant medical history.
06
If you have any allergies or medication sensitivities, make sure to mention them.
07
Fill out the insurance section accurately, including your insurance provider, policy number, and any required authorization codes.
08
Sign and date the form to certify that the information provided is true and accurate.
09
Complete any additional sections or forms required by the Barger Medical Building.
10
Review the form for any errors or missing information before submission.
11
Submit the filled-out outpatient therapy form to the designated department or personnel at the Barger Medical Building.
12
Follow up with the medical facility if necessary to ensure that the form has been received and processed.

Who needs outpatient formrapy-barger medical building?

01
Outpatient therapy at the Barger Medical Building is suitable for individuals who require rehabilitative services but do not need to be admitted as inpatients.
02
This can include patients recovering from surgeries, individuals with chronic conditions requiring ongoing therapy, or those seeking specialized treatments provided by the Barger Medical Building's outpatient department.
03
It is important to consult with a healthcare professional or the Barger Medical Building directly to determine if outpatient therapy is appropriate for your specific needs.
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The outpatient formrapy-barger medical building refers to a healthcare facility that provides outpatient services, which include various forms of medical treatments and therapies that do not require an overnight stay.
Healthcare providers and organizations that offer outpatient therapy services must file the outpatient formrapy-barger medical building documentation.
To fill out the outpatient formrapy-barger medical building, you need to provide the required patient information, treatment details, provider information, and any relevant insurance data.
The purpose of the outpatient formrapy-barger medical building is to document and report the outpatient therapy services provided to patients, ensuring compliance with healthcare regulations and proper billing.
The information that must be reported includes patient demographics, type of therapy provided, dates of service, provider details, and any relevant medical codes.
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