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FAX REFERRAL REQUEST782 N. Medical Center Dr. E. #212
Clovis, CA 93611
559.451.3676 Phone | 559.451.3680 Fax
University. Referrals can be made by faxing this form or calling the office.
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How to fill out referrals can be made
How to fill out referrals can be made
01
Gather all necessary information about the person you are referring.
02
Contact the appropriate referral department or organization.
03
Fill out the referral form completely and accurately.
04
Submit the referral form through the designated channels.
05
Follow up to ensure the referral is processed in a timely manner.
Who needs referrals can be made?
01
Individuals seeking specialized services or support.
02
Healthcare professionals looking to refer patients for further treatment or evaluation.
03
Social workers or case managers helping clients access resources and assistance.
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What is referrals can be made?
Referrals can be made to healthcare providers, social services, or other organizations that can help meet the specific needs of an individual or family.
Who is required to file referrals can be made?
Healthcare professionals, social workers, case managers, or anyone else involved in the care of the individual may be required to file a referral.
How to fill out referrals can be made?
Referrals can be filled out either electronically or on paper, depending on the specific requirements of the organization receiving the referral.
What is the purpose of referrals can be made?
The purpose of referrals is to connect individuals with the necessary resources and services to address their specific needs and improve their overall well-being.
What information must be reported on referrals can be made?
Referrals typically include information about the individual's needs, contact information, any relevant medical history, and any other information that may be relevant to the referral.
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