Get the free sibley-cardiology-referral-pad UPDATEDOCT2020.2-COLOR
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Bible Heart Center Cardiology Referral Hormone: 4042562593 or 8005422233 Fax: 4042527431 www.choa.org/heart Please fax signed form to 4042527431. Authorization Number (if needed)Patient Name: Date
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How to fill out sibley-cardiology-referral-pad updatedoct20202-color
How to fill out sibley-cardiology-referral-pad updatedoct20202-color
01
To fill out the Sibley Cardiology Referral Pad updatedoct20202-color, follow these steps:
02
Start by entering the patient's personal information, including their name, date of birth, and contact details.
03
Next, provide the referring physician's information, such as their name, specialty, and contact details.
04
Specify the reason for the referral and any relevant medical history or test results.
05
Indicate any specific tests or procedures that need to be performed.
06
If necessary, include any additional notes or instructions for the cardiologist.
07
Check all applicable boxes to indicate the type of consultation or service required.
08
Finally, sign and date the referral form, ensuring all necessary information has been provided.
09
Please ensure that you accurately and completely fill out the referral pad to facilitate timely and appropriate care for the patient.
Who needs sibley-cardiology-referral-pad updatedoct20202-color?
01
The Sibley Cardiology Referral Pad updatedoct20202-color is needed by healthcare professionals who wish to refer their patients to the Sibley Cardiology Department for further evaluation, diagnosis, or treatment of cardiovascular conditions.
02
This referral pad can be utilized by primary care physicians, internists, general practitioners, or any other healthcare providers who believe their patient may benefit from specialized cardiac care.
03
Patients with suspected or confirmed heart conditions, arrhythmias, chest pain, heart failure, or any other cardiac concerns may be referred using this referral pad.
04
By using this standardized referral form, healthcare providers can ensure that all necessary information is communicated to the cardiology department, enabling seamless coordination and continuity of care for their patients.
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What is sibley-cardiology-referral-pad updatedoct20202-color?
The sibley-cardiology-referral-pad updatedoct20202-color is a document used for referring patients to cardiology services at Sibley Hospital.
Who is required to file sibley-cardiology-referral-pad updatedoct20202-color?
Healthcare providers such as physicians, nurse practitioners, and physician assistants are required to file the sibley-cardiology-referral-pad updatedoct20202-color when referring patients to the cardiology services at Sibley Hospital.
How to fill out sibley-cardiology-referral-pad updatedoct20202-color?
The sibley-cardiology-referral-pad updatedoct20202-color should be filled out with the patient's information, reason for referral, relevant medical history, and any other necessary details regarding the patient's condition.
What is the purpose of sibley-cardiology-referral-pad updatedoct20202-color?
The purpose of sibley-cardiology-referral-pad updatedoct20202-color is to facilitate the referral process for patients in need of cardiology services.
What information must be reported on sibley-cardiology-referral-pad updatedoct20202-color?
Information such as patient demographics, reason for referral, relevant medical history, current medications, and any other pertinent details related to the patient's cardiac health must be reported on sibley-cardiology-referral-pad updatedoct20202-color.
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