
Get the free Referral Form - Onondaga County
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The Senior Health and Resource Partnership Project (SHARP)Referral Form LaShonda Flowers, Care Coordinator Email: rashondaflowers@ongov.net Phone: 3154355600 Ext. 5648 Fax: 3154355612 Date: ___ Referral
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How to fill out referral form - onondaga
01
Begin by gathering all the necessary information to fill out the referral form. This may include the patient's personal details, medical history, and reason for referral.
02
Access the referral form from the Onondaga website or obtain a physical copy from the healthcare facility.
03
Carefully read the instructions provided on the referral form to ensure you understand the required information and any specific formatting guidelines.
04
Fill out the referral form accurately and legibly. Use black or blue ink to complete the form.
05
Double-check all the provided information to ensure its accuracy. Any mistakes or missing details may delay the referral process.
06
Once the form is complete, submit it according to the specified instructions. This may include mailing it to the designated address or submitting it electronically through a secure portal.
07
Keep a copy of the completed referral form for your records.
08
If you have any questions or need assistance, contact the Onondaga healthcare facility or referring physician's office directly.
Who needs referral form - onondaga?
01
Anyone seeking specialized medical care or treatment at the Onondaga healthcare facility may need to fill out a referral form. This can include patients referred by their primary care physician, other healthcare professionals, or those seeking specialized services not readily available at their current healthcare provider.
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What is referral form - onondaga?
Referral form - onondaga is a document used to refer individuals to receive specific services or resources in Onondaga County, New York.
Who is required to file referral form - onondaga?
Referral form - onondaga is typically filed by healthcare professionals, social workers, or other individuals who are connecting a person to services.
How to fill out referral form - onondaga?
To fill out referral form - onondaga, one must provide information about the individual being referred, the reason for the referral, and any relevant background information.
What is the purpose of referral form - onondaga?
The purpose of referral form - onondaga is to ensure that individuals in need of services are connected to the appropriate resources and support in Onondaga County.
What information must be reported on referral form - onondaga?
Information such as the individual's name, contact information, reason for referral, any relevant medical or social history, and the desired outcome of the referral.
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