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Updated May 26, 2020Checklist for Stewart (ustekinumab) SQ Administration for PS and PSA Referral Required documentation for all initial referralsPatient ___DOB___ Date___ Please return completed
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Obtain a copy of the referral checklist standard order for PS and PSA.
02
Review the checklist to familiarize yourself with the required information and steps.
03
Fill out each section of the checklist accurately and completely, making sure to provide all necessary details.
04
Double-check your entries for any errors or omissions before submitting the form.
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Submit the completed referral checklist standard order for PS and PSA to the appropriate department or individual.

Who needs referral-checklist-standard-order-for-ps-and-psa?

01
Healthcare professionals who are referring patients for PS and PSA services.
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The referral-checklist-standard-order-for-ps-and-psa is a standardized form used for processing referrals in the PS and PSA systems.
Any individual or entity involved in the referral process in the PS and PSA systems is required to file the referral-checklist-standard-order-for-ps-and-psa.
The referral-checklist-standard-order-for-ps-and-psa can be filled out online or in person, following the instructions provided on the form.
The purpose of the referral-checklist-standard-order-for-ps-and-psa is to ensure that all necessary information is gathered and documented for processing referrals efficiently.
The referral-checklist-standard-order-for-ps-and-psa must include details such as the referral source, reason for referral, relevant dates, and any supporting documentation.
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