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Elective Repeat C-section Referral Form FAX TO UNC OB CLINIC AT 919-966-6356 Patient Name: Referring provider: Date of birth: Referring clinic: UNC MAN: Referring clinic fax: Please complete this
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Elective repeat c-section referral is a process where a physician refers a patient who has previously had a cesarean section for another c-section.
The physician providing care for the patient who needs the elective repeat c-section is required to file the referral.
The physician must provide the patient's medical history, reason for the repeat c-section, and any relevant medical information in the referral form.
The purpose of elective repeat c-section referral is to ensure that the patient receives appropriate medical care and the c-section procedure is safely performed.
The referral must include the patient's medical history, reason for repeat c-section, any relevant medical conditions, and the physician's recommendation for the c-section.
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