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PHYSICIAN REFERRAL OUTPATIENT PULMONARY REHABILITATION PROGRAM Freeport Campus, Grand River Hospital 3570 King Street East, Kitchener, Ontario, N2A 2W1 PHONE: 5197494300 ext. 7309FAX: 5198948307Referral
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How to fill out physician referral out-patient pulmonary
How to fill out physician referral out-patient pulmonary
01
Obtain the physician referral form from the out-patient pulmonary clinic.
02
Fill out the patient's personal information including name, date of birth, contact information, and insurance details.
03
Include the reason for the referral and any specific information requested by the clinic.
04
Make sure all sections of the form are completed accurately and legibly.
05
Submit the filled out form to the clinic either in person, by mail, or electronically as instructed.
Who needs physician referral out-patient pulmonary?
01
Patients who have been recommended to see a pulmonary specialist by their primary care physician.
02
Patients who have specific respiratory symptoms or conditions that require evaluation and treatment by a pulmonologist.
03
Patients who have been diagnosed with a pulmonary disease and need ongoing care from a specialist.
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What is physician referral out-patient pulmonary?
Physician referral out-patient pulmonary is a process where a primary care physician refers a patient to a specialist in pulmonary medicine for further evaluation and treatment.
Who is required to file physician referral out-patient pulmonary?
The primary care physician is required to file physician referral out-patient pulmonary.
How to fill out physician referral out-patient pulmonary?
To fill out physician referral out-patient pulmonary, the primary care physician must complete a referral form with the patient's information, medical history, and reason for the referral.
What is the purpose of physician referral out-patient pulmonary?
The purpose of physician referral out-patient pulmonary is to ensure that patients receive specialized care and treatment for pulmonary issues from a qualified specialist.
What information must be reported on physician referral out-patient pulmonary?
The physician referral out-patient pulmonary must include the patient's demographic information, medical history, reason for referral, and any relevant test results.
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