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CRCSTATReset FormDIAGNOSTIC ASSESSMENT REFERRAL FORMSubmitFor Clinical Suspicion of Colorectal Cancerous Navigator Telephone: 4168646060 Ext. 2765 Fax: 4168645250 Please note Referrals are triaged
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How to fill out referral guidelines direct access

01
Read the referral guidelines for direct access carefully.
02
Fill out the necessary patient information such as name, date of birth, and contact information.
03
Provide details about the reason for referral and any relevant medical history.
04
Include any supporting documentation such as test results or imaging reports.
05
Submit the referral form according to the instructions provided.

Who needs referral guidelines direct access?

01
Healthcare providers who want to refer a patient for direct access services.
02
Patients who meet the criteria for direct access and are seeking referral for specialized care.
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Referral guidelines direct access is a set of rules and regulations that outline the process for healthcare providers to refer patients for specialized care or services without the need for a prior authorization.
Healthcare providers such as doctors, nurses, and other medical professionals are required to file referral guidelines direct access when referring patients for specialized care.
Referral guidelines direct access can be filled out online or through a paper form provided by the healthcare facility. The form typically requires information about the patient's condition, the reason for the referral, and the specialist being referred to.
The purpose of referral guidelines direct access is to streamline the referral process, ensure patients receive timely and appropriate care from specialists, and reduce administrative burden on healthcare providers.
Information that must be reported on referral guidelines direct access typically includes patient demographic information, medical history, reason for referral, and any relevant test results or imaging studies.
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