Get the free Hem-Onc referralformatted 8 14 09

Pediatric Hematology/Oncology 11 Vanderbilt Park Drive, Asheville, NC 28803 (828) 2139770 or (800) 3779251 Fax (828) 2139771 NEW PATIENT REFERRAL DEMOGRAPHICS PLEASE COMPLETE THIS FORM AND FAX TO:

How to fill out hem-onc referralformatted 8 14

How to fill out hem-onc referralformatted 8 14:

1. Start by reviewing the referral form carefully. Familiarize yourself with the sections and information required.
2. Begin by providing patient information, including their full name, date of birth, and contact information. Make sure this information is accurate and up to date.
3. Specify the reason for the referral. Clearly state the symptoms, diagnosis, or condition that requires the expertise of a hematology-oncology specialist.
4. Include the relevant medical history of the patient. This may involve documenting previous treatments, surgeries, medications, and any relevant test results.
5. If applicable, provide information about any ongoing treatments or medications that the patient is currently undergoing. This will give the hematology-oncology specialist a comprehensive view of the patient's medical situation.
6. Make sure to include copies of any relevant imaging or laboratory reports that may aid the specialist in evaluating the patient's condition.
7. Describe any specific concerns or questions you have regarding the patient's case. This will help guide the specialist's assessment and ensure that all necessary aspects are addressed.
8. Sign and date the referral form to validate its authenticity. Ensure that all required fields are completed before submitting it to the appropriate hematology-oncology department.

Who needs hem-onc referralformatted 8 14:

1. Patients with suspected or diagnosed hematological conditions, such as leukemia, lymphoma, or anemia, may require a hematology-oncology referral. These specialists are trained in diagnosing and treating blood disorders and cancerous conditions.
2. Individuals with a family history of hematological conditions or a known genetic predisposition may also benefit from a hematology-oncology referral. Early detection and intervention can significantly improve outcomes in high-risk individuals.
3. Individuals with abnormal blood test results, such as abnormal white blood cell counts, low platelet counts, or unusual red blood cell indices, may require a referral to a hematology-oncology specialist for further evaluation and management.
4. Cancer patients who require additional evaluations, treatments, or second opinions for their cancer-related conditions may need a referral to a hematology-oncology specialist. These specialists have a deep understanding of cancer biology and can provide tailored treatments and guidance based on the patient's specific cancer type.
5. Patients experiencing unexplained symptoms, such as persistent fatigue, unexplained weight loss, recurring infections, or abnormal bleeding, may benefit from a hematology-oncology referral to rule out underlying blood disorders or malignancies.

Remember, it is essential to consult with a healthcare professional or primary care physician to determine if a hematology-oncology referral is necessary based on the individual's specific medical situation.

For pdfFiller’s FAQs

What is hem-onc referralformatted 8 14?

Hem-onc referralformatted 8 14 is a form used to refer a patient to a hematologist-oncologist for further evaluation and treatment.

Who is required to file hem-onc referralformatted 8 14?

Healthcare providers such as primary care physicians, oncologists, and hematologists are required to file hem-onc referralformatted 8 14.

How to fill out hem-onc referralformatted 8 14?

To fill out hem-onc referralformatted 8 14, healthcare providers need to provide patient information, medical history, reason for referral, and any relevant test results.

What is the purpose of hem-onc referralformatted 8 14?

The purpose of hem-onc referralformatted 8 14 is to ensure that patients with hematologic or oncologic conditions receive timely and appropriate care from specialist providers.

What information must be reported on hem-onc referralformatted 8 14?

Patient demographics, medical history, current symptoms, diagnostic test results, and reason for referral must be reported on hem-onc referralformatted 8 14.

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