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25747 N Ave, Ste C Adel, IA 50003 5159933750 www.dallascountyiowa.govHealth Navigation Referral Tool Fax 515.993.4949Phone 515.993.3750Scan & Email to PHN@dallascountyiowa.govDate: ___ Client Name:___
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How to fill out health navigation referral tool

01
Start by opening the health navigation referral tool on your preferred device.
02
Enter your personal information such as name, age, and contact details.
03
Provide details about your current health condition or concern.
04
Specify the type of health navigation assistance you require.
05
Answer any additional questions or prompts to help further classify your needs.
06
Review and verify the information you have entered to ensure accuracy.
07
Submit the referral form and await confirmation or follow-up from the health navigation team.

Who needs health navigation referral tool?

01
Anyone who requires assistance in navigating the complex healthcare system can benefit from using the health navigation referral tool.
02
Individuals who are unsure about the appropriate healthcare resources or services needed for their specific condition can utilize the tool to receive guidance.
03
Patients who require support in finding specialists, booking appointments, or accessing necessary healthcare resources can also utilize the health navigation referral tool.
04
Caregivers and family members assisting patients in their healthcare journey can utilize the tool to ensure they are providing the most appropriate care and support.
05
Healthcare professionals who need to refer their patients to specialized services or resources can also make use of the health navigation referral tool.
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The health navigation referral tool is a tool used to refer individuals to appropriate healthcare services and resources.
Healthcare professionals and organizations involved in coordinating care for patients are required to file the health navigation referral tool.
To fill out the health navigation referral tool, healthcare professionals must input patient information, healthcare needs, and recommended services or resources.
The purpose of the health navigation referral tool is to ensure patients receive the necessary care and support by connecting them to relevant healthcare services.
Information such as patient demographics, medical history, current health needs, and recommended healthcare services must be reported on the health navigation referral tool.
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