Get the free OHSU IR Referral Form - Legacy Health

Legacy Salmon Creek Medical Center INTERVENTIONAL RADIOLOGY REFERRAL Former Updated 12021. Please use this referral form for Radio IR referrals.2211 NE 136th Street Vancouver, WA 98686 Phone: (360)

How to fill out ohsu ir referral form

How to fill out ohsu ir referral form

1. To fill out the OHSU IR referral form, follow these steps:
2. Begin by providing your personal information such as name, date of birth, and contact details.
3. Specify your referring physician's information, including their name, contact details, and any relevant clinic or hospital information.
4. Indicate the reason for the referral by providing a detailed description of the patient's condition, symptoms, and any relevant medical history.
5. If applicable, provide any additional supporting documentation or test results that may be helpful in assessing the patient's condition.
6. Include any specific questions or concerns that you would like the OHSU Interventional Radiology team to address.
7. Ensure that all sections of the form are filled out accurately and completely.
8. Finally, submit the completed referral form to the OHSU Interventional Radiology department.
9. Note: It's always advisable to check with OHSU for any specific guidelines or requirements related to filling out their referral form.

Who needs ohsu ir referral form?

1. The OHSU IR referral form is required for individuals who require a referral to the OHSU Interventional Radiology department.
2. This may include patients who need specialized interventional radiology procedures or treatments that are offered by OHSU IR.
3. The form is typically filled out by referring physicians, healthcare providers, or clinics who are referring their patients to OHSU Interventional Radiology for further evaluation or treatment.

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What is ohsu ir referral form?

The OHSU IR referral form is a document used to refer a patient to the Interventional Radiology department at Oregon Health & Science University.

Who is required to file ohsu ir referral form?

Medical professionals, such as physicians and healthcare providers, are required to file the OHSU IR referral form when referring a patient for interventional radiology services.

How to fill out ohsu ir referral form?

The OHSU IR referral form can be filled out by providing the patient's information, reason for referral, relevant medical history, and any other necessary details.

What is the purpose of ohsu ir referral form?

The purpose of the OHSU IR referral form is to facilitate the referral process for patients in need of interventional radiology services.

What information must be reported on ohsu ir referral form?

The OHSU IR referral form must include the patient's name, contact information, referring physician's details, reason for referral, and relevant medical history.