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Referral To (URGENT/IMMEDIATE REFERRALS ARE NOT SENT TO CRS, SEND DIRECTLY TO HOSPITAL) Specialty: Specialty Name of Specialist (if required): Name of Specialist Site: Site Referral From Name: Doctor:Name
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How to fill out guidelines for using referral

01
Start by reading the guidelines for using referral carefully.
02
Understand the criteria for referrals and the process for submitting them.
03
Fill out the referral form completely and accurately with all required information.
04
Double-check the form to ensure all information is correct before submitting.
05
Submit the referral form following the specified instructions or contact the appropriate person for assistance.

Who needs guidelines for using referral?

01
Anyone who wants to refer someone to a service or program.
02
Organizations or individuals who are part of a referral network.

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