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Name: Date of Birth:DD / MM / YYYYMRN Number:Routine DentoAlveolar Referral FormNHS Number: (OR AFFIX HOSPITAL LABEL HERE)www.gloshospitals.nhs.uk/glosmaxfax Please advise your patients that treatment
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How to fill out information for referring practitioners

How to fill out information for referring practitioners
01
Gather all necessary information about the referring practitioner such as their name, address, phone number, and email.
02
Input the referring practitioner's information accurately into the designated fields on the referral form.
03
Include any additional notes or specific instructions for the referred practitioner, if necessary.
04
Double-check the information entered to ensure accuracy and completeness before submitting the referral form.
Who needs information for referring practitioners?
01
Healthcare providers or professionals who are referring a patient to another practitioner or specialist.
02
Insurance companies or healthcare organizations that require documentation of referrals and consultations.
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What is information for referring practitioners?
Information for referring practitioners is a documentation requirement that captures details about healthcare providers who refer patients for diagnostic imaging services or treatments.
Who is required to file information for referring practitioners?
Healthcare providers and organizations that offer diagnostic imaging services, and who receive referrals from practitioners, are required to file this information.
How to fill out information for referring practitioners?
To fill out the information for referring practitioners, the provider must complete the designated forms provided by the regulatory authority, ensuring all required details about the referring practitioner and the services rendered are accurately included.
What is the purpose of information for referring practitioners?
The purpose of information for referring practitioners is to enhance accountability, transparency, and compliance in the referral process, ensuring that patient care decisions are made appropriately and ethically.
What information must be reported on information for referring practitioners?
Key information that must be reported includes the name and credentials of the referring practitioner, their National Provider Identifier (NPI), the services referred, and patient identifiers.
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