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Enlist () Referral Form Patient Preferred Clinic (select one): PATIENT ___PATIENT INFORMATION DOB:Referral Status: New Referral Updated OrderPatient Name:Patient Phone:Patient Address:Patient Email:
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How to fill out patient preferred clinic select

How to fill out patient preferred clinic select
01
Log in to the patient portal.
02
Go to the 'My Profile' section.
03
Find the 'Patient Preferred Clinic' select option.
04
Click on the drop-down menu to select your preferred clinic.
05
Save your selection to update your profile.
Who needs patient preferred clinic select?
01
Patients who want to specify their preferred clinic for appointments and treatments.
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What is patient preferred clinic select?
Patient preferred clinic select is the facility or healthcare provider chosen by the patient as their preferred clinic for medical treatment.
Who is required to file patient preferred clinic select?
The patient is required to file their preferred clinic select.
How to fill out patient preferred clinic select?
Patients can fill out their preferred clinic select by indicating their choice on the provided form or online platform.
What is the purpose of patient preferred clinic select?
The purpose of patient preferred clinic select is to ensure that patients receive care at their chosen facility or with their preferred healthcare provider.
What information must be reported on patient preferred clinic select?
Patient's name, preferred clinic or healthcare provider's name, contact information, and any relevant medical preferences.
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