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Fax referral form to 289 372 0463PATIENT INFORMATION Last name, First Name: ___Referring Physician/NP INFORMATION Name:___DOB (YYYY/MM/DD): ___ Billing Number:___ Phone number:___ Phone:___ Address:___
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Consult with a medical oncologist to determine the appropriate treatment plan.
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Follow the recommended schedule for radiation therapy sessions.
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Who needs medical oncology amp hematologyradiation?

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Patients diagnosed with cancer that may benefit from chemotherapy, immunotherapy, or radiation therapy.
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Individuals with blood disorders such as leukemia, lymphoma, or multiple myeloma.
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Patients with non-malignant blood disorders requiring specialized care.
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Medical oncology and hematology/radiation refers to the field of medicine that focuses on the diagnosis and treatment of cancer and blood disorders, using methods such as chemotherapy, radiation therapy, and other targeted therapies.
Medical professionals specializing in oncology, hematology, and radiation are required to file medical oncology amp hematology/radiation reports as part of their patient care records.
Medical oncology amp hematology/radiation reports are typically filled out by healthcare providers who are directly involved in the treatment and care of cancer and blood disorder patients. The reports should include detailed information about the patient's diagnosis, treatment plan, and response to therapy.
The purpose of medical oncology amp hematology/radiation reports is to provide a comprehensive record of a patient's cancer or blood disorder treatment, including details on the diagnosis, treatment plan, and outcomes.
Information that must be reported on medical oncology amp hematology/radiation includes the patient's medical history, diagnostic tests results, treatment plan, medications prescribed, and any adverse reactions or side effects experienced during treatment.
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