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Michael Matteucci, M.D. William Much, M.D. Ryan Payne, M.D. Julianne Rathbone, M.D. Brian Smith, M.D. Julia Jennings, APRNBC218 S Santa Fe Ave Salina, KS 67401 (p) 7858279635 (f) 7858276697 www.salinaurology.comREQUEST
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01
Gather all necessary documents and information related to your consultation or referral request.
02
Contact the appropriate healthcare provider or organization to request a consultation or referral form.
03
Fill out the form completely and accurately, providing all requested information about the patient and reason for the request.
04
Submit the completed form to the healthcare provider or organization either in person, by mail, or through their online portal.
05
Follow up with the provider or organization to confirm they have received your request and to check on the status of your consultation or referral.

Who needs request for consultationreferral?

01
Patients who require specialized care or treatment from a different healthcare provider.
02
Healthcare providers looking to consult with other professionals for a second opinion or specialized expertise.
03
Insurance companies or case managers coordinating care for their clients.
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Request for consultation/referral is a formal process to seek advice or guidance from a professional or expert in a specific field.
Anyone seeking advice or guidance from a professional or expert in a specific field is required to file a request for consultation/referral.
To fill out a request for consultation/referral, one must provide detailed information about the issue or topic of concern and clearly state the purpose of seeking consultation/referral.
The purpose of request for consultation/referral is to receive expert advice or guidance on a specific issue or topic of concern.
The information that must be reported on a request for consultation/referral includes the name and contact information of the requester, the issue or topic of concern, and the desired outcome from the consultation/referral.
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