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UNC Family Planning Referral Form *THIS REFERRAL MUST BE FULLY COMPLETED AND ACCOMPANIED BY (1) DEMOGRAPHIC INFORMATION (2) LEGIBLE COPY OF INSURANCE CARD FRONT/BACK (3) PERTINENT MEDICAL RECORDS
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How to fill out unc family planning referral

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How to fill out unc family planning referral

01
Contact the UNC Family Planning Clinic to schedule an appointment
02
Bring any relevant medical records or documentation with you to the appointment
03
Arrive at the clinic on time for your scheduled appointment
04
Fill out any necessary forms or questionnaires provided by the clinic
05
Be prepared to discuss your personal health history and any concerns or questions you may have
06
Follow any instructions given by the healthcare provider during the appointment
07
If necessary, schedule any follow-up appointments or procedures recommended by the healthcare provider
08
Keep a copy of any referral or documentation provided by the clinic for your records

Who needs unc family planning referral?

01
Anyone who is seeking family planning services, such as birth control, contraceptive counseling, fertility evaluations, or preconception counseling, may need a UNC Family Planning referral.
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UNC family planning referral is a process by which individuals seeking family planning services are directed to appropriate healthcare providers or facilities that offer those services.
Individuals seeking family planning services are typically required to file a UNC family planning referral, typically through healthcare providers or clinics that facilitate these services.
To fill out a UNC family planning referral, individuals should provide relevant personal information, the type of family planning services needed, and any necessary medical history or identification as required by the referral form.
The purpose of the UNC family planning referral is to ensure that individuals have access to appropriate, safe, and effective family planning services, including education, counseling, and contraceptive options.
The information that must be reported includes patient identification details, service request type, medical history, and additional comments or needs pertinent to the family planning services required.
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