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INSTRUCTIONS FOR FILLING OUT REFERRAL FORM ONLINE:STEP ONE
Type in informationSTEP TWO
Save the file (right click save as to your documents)STEP THREE
Attach the file to the email info@cdikelowna.comDIAGNOSTIC
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How to fill out cdi referral form
How to fill out cdi referral form
01
Obtain a copy of the CDI referral form from the appropriate source.
02
Fill out the patient's personal information including name, date of birth, address, and contact information.
03
Provide details about the reason for the referral and any relevant medical history.
04
Include the healthcare provider's information and signature on the form.
05
Submit the completed form to the CDI department or designated contact person.
Who needs cdi referral form?
01
Individuals who require diagnostic imaging services such as X-rays, MRIs, CT scans, and ultrasounds.
02
Healthcare providers who are referring patients for further imaging studies or consultations.
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What is cdi referral form?
The CDI referral form is a document used to request a Clinical Diagnostic Investigation (CDI) for patients based on specific medical criteria.
Who is required to file cdi referral form?
Healthcare providers, including physicians and other authorized medical personnel, are required to file the CDI referral form when they believe a patient meets the criteria for diagnostic investigation.
How to fill out cdi referral form?
To fill out the CDI referral form, a healthcare provider must provide patient identification information, the reason for the referral, medical history, and any relevant tests or diagnoses that support the necessity of the investigation.
What is the purpose of cdi referral form?
The purpose of the CDI referral form is to document and formalize the request for diagnostic investigations to ensure patients receive appropriate evaluations and care based on clinical necessity.
What information must be reported on cdi referral form?
The CDI referral form must include patient details, the referring provider's information, the reason for referral, relevant medical history, and any tests already performed.
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