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Download this form at: https://www.solismammo.com/physicianresources/referralpadsSchedule by Phone Schedule Online 866.717.2551 SolisMammo.com/ScheduleFax Number 866.366.5798PATIENT INFORMATIONPatient
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How to fill out comphysician-resourcesreferral-pads

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How to fill out comphysician-resourcesreferral-pads

01
Gather all necessary information such as physician name, clinic information, contact details, etc.
02
Use legible handwriting to fill out the referral pads.
03
Include specific details about the patient being referred such as name, date of birth, reason for referral, etc.
04
Ensure all necessary signatures are obtained before giving the referral pad to the patient.

Who needs comphysician-resourcesreferral-pads?

01
Healthcare providers who want to refer their patients to other healthcare professionals or specialists.
02
Medical offices that frequently refer patients to other clinics or facilities.
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comphysician-resourcesreferral-pads are pads used by physicians to refer patients to other healthcare providers or specialists.
Physicians and healthcare providers are required to fill out and file comphysician-resourcesreferral-pads when referring patients.
To fill out comphysician-resourcesreferral-pads, physicians need to provide the patient's information, reason for referral, and details of the healthcare provider or specialist being referred to.
The purpose of comphysician-resourcesreferral-pads is to ensure a smooth and coordinated transfer of care for patients between different healthcare providers.
Information such as patient demographics, medical history, reason for referral, and contact details of the referring physician and receiving healthcare provider must be reported on comphysician-resourcesreferral-pads.
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