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**** Consult / Referral Forms are now available online at www.cccahealth.com ****5002 Cow horn Creek Drive Texarkana, TX. 75503 Phone: (903) 6143009 Fax: (903) 6143506Fax received by ___ Date/Time
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01
Gather all necessary information and medical records related to the patient's oncology and hematology history.
02
Fill in the patient's personal information including name, date of birth, contact information, and insurance details.
03
Document the patient's medical history including any diagnoses, treatments, surgeries, and medications related to oncology and hematology.
04
Include any test results or imaging studies that have been done such as blood tests, biopsies, or scans.
05
Outline the current symptoms the patient is experiencing and any concerns or questions they may have.
06
Consult with the oncology and hematology team if needed for clarification or additional information.

Who needs oncology hematologydoc?

01
Patients who have been diagnosed with oncology or hematology conditions and are receiving treatment.
02
Medical professionals involved in the care of patients with oncology or hematology conditions such as oncologists, hematologists, and nurses.
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Oncology hematologydoc is a medical document that contains information about the oncology and hematology treatments and procedures done on a patient.
Oncologists and hematologists are required to fill out and file the oncology hematologydoc for their patients.
To fill out the oncology hematologydoc, medical professionals need to provide detailed information about the treatments, medications, and progress of the patient's oncology and hematology conditions.
The purpose of the oncology hematologydoc is to track and document the progress of oncology and hematology treatments for a patient, ensuring proper care and treatment.
The oncology hematologydoc must include information about the patient's diagnosis, treatment plan, medications, side effects, lab results, and any other relevant information related to their oncology and hematology conditions.
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