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ABRAHAM SURGICAL SERVICES REFERRAL FORMER. SHEA JONES DR. PAMELA McCloskey 638 Historic Hwy Old 441 Suite B Deforest, GA 30535(P)7067548339 (F) 7067548460Date of Referral: Referring Provider: Provider

How to fill out habersham surgical services referral

How to fill out habersham surgical services referral

1. To fill out a Habersham Surgical Services referral, follow these steps:
2. Start by gathering all necessary information about the patient, including their name, contact information, and insurance details.
3. Identify the reason for the referral and the specific medical procedure or service required.
4. Consult with the patient's primary care physician or healthcare provider to understand the specific requirements and any supporting documentation needed.
5. Obtain the Habersham Surgical Services referral form, either by downloading it from their website or obtaining a physical copy from their office.
6. Fill out all patient information accurately and completely, ensuring that all fields marked as mandatory are filled.
7. Provide relevant medical history, diagnosis, and any test results or imaging reports that support the need for the referral.
8. Include the referring healthcare provider's information, including their name, contact details, and provider identification number.
9. Review the completed referral form to ensure all information is correct and up-to-date.
10. Submit the referral form to Habersham Surgical Services via the designated method (e.g., fax, email, online form submission).
11. Keep a copy of the referral form for your records and provide a copy to the patient, if necessary.

Who needs habersham surgical services referral?

1. Anyone who requires a specific surgical service provided by Habersham Surgical Services may need a referral.
2. This can include individuals who have been diagnosed with a medical condition that requires surgical intervention or individuals who have been recommended for a surgical consultation by their primary healthcare provider.
3. It is always recommended to consult with the Habersham Surgical Services or the patient's primary care physician to determine if a referral is necessary in each specific case.

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What is habersham surgical services referral?

Habersham Surgical Services Referral is a process where a patient is referred to a surgical services provider at Habersham Medical Center for specialized surgical treatment.

Who is required to file habersham surgical services referral?

Physicians, healthcare providers, or medical facilities who determine that a patient requires surgical treatment at Habersham Medical Center are required to file a referral.

How to fill out habersham surgical services referral?

To fill out a Habersham Surgical Services Referral, the referring physician or healthcare provider must provide the patient's medical information, reason for referral, necessary surgical treatment details, and contact information.

What is the purpose of habersham surgical services referral?

The purpose of Habersham Surgical Services Referral is to ensure that patients receive specialized surgical treatment at Habersham Medical Center from qualified healthcare providers.

What information must be reported on habersham surgical services referral?

The information reported on a Habersham Surgical Services Referral must include the patient's medical history, reason for referral, necessary surgical treatment details, and contact information for both the referring physician and patient.