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HOW TO REFER YOUR PATIENT Name Phone # Family Contact Person Phone # Referring Physician Name Phone # This physician will receive and need to sign an HSM Certification of Terminal Illness form to
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What is how to refer your?
How to refer your is a process of recommending or mentioning someone or something.
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Any individual or organization who wants to recommend or mention someone or something.
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The purpose of how to refer your is to provide a formal recommendation or mention for someone or something.
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The information reported on how to refer your must include details about the person or thing being recommended or mentioned.
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