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PATIENT REFERRAL Please FAX completed form to (248) 4790332 Physician Liaison: Michelle Babinski PATIENT INFORMATION Name: D.O.B: Phone #: Insurance: Insurance ID #: REFERRING DOCTOR INFORMATION Name:
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What is physician liaison Michelle Lubinski?
Physician liaison Michelle Lubinski is a healthcare professional responsible for strengthening the relationship between physicians and healthcare facilities.
Who is required to file physician liaison Michelle Lubinski?
Physicians as well as healthcare facilities are required to file physician liaison Michelle Lubinski.
How to fill out physician liaison Michelle Lubinski?
Physician liaison Michelle Lubinski can be filled out by providing relevant information about the interactions and collaborations between physicians and healthcare facilities.
What is the purpose of physician liaison Michelle Lubinski?
The purpose of physician liaison Michelle Lubinski is to track and document the professional relationships between physicians and healthcare facilities.
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Information regarding the nature of the interactions, referrals, collaborations, and any financial arrangements between physicians and healthcare facilities must be reported on physician liaison Michelle Lubinski.
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