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Get the free GENERAL REFERRAL FORM FAX TO (780) 453-9099 - HealthPointe

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#301, 575 100 Street SW Edmonton, AB T6X 0S8Phone: 780.453.5255 Facsimile: 780.453.9099Pain, Spine & Sport MedicineRapid Assessment & Intervention Referral Patient Demographics (may attach label)
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How to fill out general referral form fax

01
Start by gathering all the necessary information required for the referral form such as the patient's name, contact details, and medical history.
02
Ensure that you have the correct referral form for the specific healthcare provider or service that the patient requires. Different forms may have different sections and requirements.
03
Fill out the patient's personal information accurately, including their full name, date of birth, address, and phone number.
04
Provide detailed information about the reason for the referral and any relevant medical conditions or symptoms that should be addressed by the receiving healthcare provider.
05
Include any supporting documentation or test results that may be needed for the referral process.
06
Double-check all the entered information to avoid any errors or missing details.
07
Once the referral form is completed, ensure it is signed and dated by the appropriate healthcare professional.
08
Prepare the referral form for faxing by placing it in the document feeder of the fax machine.
09
Dial the fax number of the receiving healthcare provider or service.
10
Send the fax and make sure to keep a copy of the referral form for your records.

Who needs general referral form fax?

01
General referral form fax may be needed by healthcare professionals who are referring a patient to another provider or service.
02
It may also be required by healthcare organizations or institutions that manage the referral process for their patients.
03
Additionally, patients who wish to self-refer to a specialist or service may need to fill out a general referral form for fax.

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