Get the free NEW Fetal Cardiac Referral Request to AFCC
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NEW Fetal Cardiac Referral Request to AFC Please send this form and patient information (demographics, insurance, OB/cardiology medical records) by fax (617730 0124) or email (AFCCReferrals@childrens.harvard.edu).
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How to fill out new fetal cardiac referral
How to fill out new fetal cardiac referral
01
Gather all necessary information such as patient demographics, medical history, and reason for referral.
02
Complete the referral form with the required information, including patient contact details and referring physician information.
03
Ensure all relevant medical records, imaging studies, and test results are attached to the referral form.
04
Submit the completed referral form to the appropriate department or healthcare provider.
Who needs new fetal cardiac referral?
01
Patients who are pregnant and have been identified as potentially having a fetal cardiac issue.
02
Referring physicians who suspect a fetal cardiac abnormality and want to seek further evaluation and management.
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What is new fetal cardiac referral?
New fetal cardiac referral is a process of referring a fetus with suspected cardiac abnormalities for further evaluation and treatment.
Who is required to file new fetal cardiac referral?
Medical professionals and healthcare providers involved in the prenatal care of the pregnant individual are required to file new fetal cardiac referral.
How to fill out new fetal cardiac referral?
New fetal cardiac referral can be filled out by providing detailed information about the fetal cardiac abnormalities, medical history of the pregnant individual, and any relevant test results.
What is the purpose of new fetal cardiac referral?
The purpose of new fetal cardiac referral is to ensure timely and appropriate treatment for fetuses with suspected cardiac abnormalities.
What information must be reported on new fetal cardiac referral?
Information such as fetal cardiac diagnosis, gestational age, maternal medical history, and any relevant test results must be reported on new fetal cardiac referral.
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