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RHYMER 555 Valley Street Dayton, OH 45404 9372240047 ext. 11Guest Referral Form request services the patients physician or a member of Kettering Health Systems staff must Fax the completed Guest Referral
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How to fill out kettering hospital referral

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How to fill out kettering hospital referral

01
Obtain the referral form from your healthcare provider.
02
Fill out the patient's personal information including name, date of birth, address, and phone number.
03
Provide details of the referring healthcare provider including name, contact information, and reason for referral.
04
Include any relevant medical history or test results that may help in the referral process.
05
Make sure all sections of the referral form are complete and legible before submitting it to Kettering Hospital.

Who needs kettering hospital referral?

01
Patients who have been recommended by their primary care physician to seek specialized medical care at Kettering Hospital.
02
Patients who require a referral from their insurance provider in order to have their medical expenses covered for treatment at Kettering Hospital.
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Kettering hospital referral is a process through which patients are referred to Kettering Health for specialized medical services or consultations.
Healthcare providers and referring physicians are typically required to file Kettering hospital referrals for their patients who need specialized care.
To fill out a Kettering hospital referral, the referring physician should complete the referral form with patient information, details about the medical issue, and any necessary medical history.
The purpose of the Kettering hospital referral is to ensure that patients receive the appropriate level of care from specialists within the Kettering Health network.
Required information on a Kettering hospital referral includes patient demographics, insurance information, medical history, and details about the reason for referral.
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