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WWW. Raleigh.complete ARRANGE AN APPOINTMENT FOR MY PATIENT WITH: M. Alan Dickens, MD adickens@raleighophthalmology.imwdirect.com Gabriel T. Chong, MD gachong@raleighophthalmology.imwdirect.com Timothy
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How to fill out referrals can be faxed

How to fill out referrals can be faxed
01
Obtain the referral form that needs to be filled out.
02
Fill in the patient's information such as name, date of birth, and contact information.
03
Provide the reason for the referral and any relevant medical history.
04
Include the referring physician's information and contact details.
05
Double check all the information filled out on the form for accuracy.
06
Fax the completed referral form to the appropriate recipient.
Who needs referrals can be faxed?
01
Patients who require specialized medical care from a specialist.
02
Healthcare providers who are referring a patient to a specialist for further evaluation or treatment.
03
Insurance companies that require documentation of a referral for coverage purposes.
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What is referrals can be faxed?
Referrals that can be faxed are requests for services or consultations that are sent from one healthcare provider to another via fax.
Who is required to file referrals can be faxed?
Healthcare providers such as primary care physicians, specialists, and hospitals are required to file referrals that can be faxed.
How to fill out referrals can be faxed?
Referrals that can be faxed should include the patient's name, medical history, reason for referral, requested services, and contact information for both the referring and receiving healthcare providers.
What is the purpose of referrals can be faxed?
The purpose of referrals that can be faxed is to ensure that patients receive the appropriate care and treatment from the appropriate healthcare providers.
What information must be reported on referrals can be faxed?
On referrals that can be faxed, healthcare providers must report relevant medical information, reason for referral, requested services, and contact information for both parties.
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