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DuchesnayUSA Patient Assistance ProgramPhone: 8557204147 Fax: 8557201400DuchesnayUSA@qpharmacorp.com *STEP 1 PATIENT INFORMATION TO BE COMPLETED BY PATIENT OR PATIENT CAREGIVER Patient First Name: MI: Patient

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How to fill out connecting eligible patients to

01

Identify eligible patients based on specific criteria or guidelines.

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Gather necessary patient information and demographics.

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Reach out to eligible patients through phone calls, emails, or in-person visits.

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Explain the benefits and purpose of connecting them to various resources or programs.

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Assist patients in filling out necessary forms or applications accurately.

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Provide ongoing support and follow-up to ensure successful connection.

Who needs connecting eligible patients to?

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Healthcare providers looking to offer additional support services to their patients.

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Social workers or case managers wanting to connect patients to resources.

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Community organizations aiming to help individuals access healthcare options.

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Patients who may benefit from resources but are not aware of them.

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What is connecting eligible patients to?

Connecting eligible patients to is connecting them to necessary healthcare resources and services.

Who is required to file connecting eligible patients to?

Healthcare providers and facilities are required to file connecting eligible patients to.

How to fill out connecting eligible patients to?

Connecting eligible patients to can be filled out electronically through designated portals or platforms provided by healthcare authorities.

What is the purpose of connecting eligible patients to?

The purpose of connecting eligible patients to is to ensure that patients receive timely and appropriate healthcare services.

What information must be reported on connecting eligible patients to?

Information such as patient demographics, medical history, current health status, and recommended treatments must be reported on connecting eligible patients to.

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