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Referral Instruction Thank you for your interest in services with Project Pathfinder, Inc. (PPI). To complete your referral, please follow these steps: 1. Complete Intake Form (page 2) and request
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How to fill out referral instruction

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How to fill out referral instruction

01
Obtain the referral instruction form from the appropriate department or referral coordinator.
02
Fill in the patient's demographic information such as name, date of birth, address, and contact information.
03
Provide details of the referring provider, including name, contact information, and specialty.
04
Include the reason for the referral and any necessary medical history or test results.
05
Obtain any required signatures from the patient or guardian.
06
Submit the completed referral instruction form to the appropriate department or referral coordinator for processing.

Who needs referral instruction?

01
Patients who have been referred to a specialist or other healthcare provider by their primary care physician.
02
Healthcare providers who need to communicate important patient information to a specialist or other healthcare provider.
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Referral instruction is a set of guidelines or directions provided to someone who has been referred to a particular service or organization.
Referral instruction is typically filed by the referring party, such as a healthcare provider or social worker.
Referral instructions are filled out by providing detailed information about the individual being referred, the reason for the referral, and any specific instructions or preferences.
The purpose of referral instruction is to ensure that the individual being referred receives the necessary care or services in a timely and efficient manner.
Information that must be reported on referral instruction typically includes the individual's name, contact information, medical history, reason for referral, and any special requirements or considerations.
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