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It's the Way WeCAREONCOLOGY REFERRAL FORMReferral Indoor INFORMATION Specialty Services: (931× 7835551 Fax referral #: (931× 7835533 Outpatient Pharmacy 9317832552 phone 9317832553 fax A T I E N
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How to fill out ph-36 - oncology referral

01
To fill out ph-36 - oncology referral, follow these steps:
02
Start by filling out the patient's personal information, including their name, date of birth, address, and contact details.
03
Provide the details of the referring physician, including their name, contact information, and specialty.
04
Indicate the reason for referral and the specific oncology services required.
05
Include any relevant medical history, test results, or diagnosis that supports the need for the referral.
06
Specify any urgent concerns or time-sensitive issues that require immediate attention.
07
Sign and date the referral form.
08
Make a copy of the completed referral for your records, if needed.
09
Submit the ph-36 - oncology referral to the appropriate healthcare provider or facility, as instructed.
10
Follow up with the referral recipient to ensure they have received the request and to obtain any necessary feedback or updates.
11
Keep a record of the referral submission and any subsequent communication relating to the referral for future reference.

Who needs ph-36 - oncology referral?

01
Ph-36 - oncology referral is required for patients who need to be referred to an oncologist for the diagnosis, treatment, or management of cancer.
02
This referral form is typically filled out by primary care physicians, specialists, or other healthcare providers who identify the need for oncology services.
03
Patients with suspected or confirmed malignancies, abnormal test results indicative of cancer, or requiring specialized oncology treatments may require this referral.
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ph-36 - oncology referral is a form used to refer a patient to an oncologist for further evaluation and treatment.
The referring physician or healthcare provider is required to file ph-36 - oncology referral.
ph-36 - oncology referral must be filled out with the patient's information, reason for referral, and relevant medical history.
The purpose of ph-36 - oncology referral is to ensure that patients receive timely and appropriate care from an oncologist.
The ph-36 - oncology referral must include the patient's name, date of birth, contact information, reason for referral, and any relevant medical history or test results.
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