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RHYMER 555 Valley Street Dayton, OH 45404 9372240047 ext. 11Guest Referral Form request services the patients physician or a member of Miami Valley Hospital staff must Fax the completed Guest Referral
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How to fill out refer a patientphysician connect

01
Log in to the portal using your credentials.
02
Click on the 'Refer a Patient' option.
03
Fill out the required information for the patient, including their contact details, medical history, and reason for referral.
04
Select the physician you wish to refer the patient to from the dropdown menu.
05
Review the information provided and submit the referral form.

Who needs refer a patientphysician connect?

01
Healthcare providers looking to refer a patient to another physician or specialist.
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Refer a patient-physician connect is a system or process that allows healthcare providers to refer patients to other physicians or specialists for further evaluation or treatment.
Healthcare providers, including physicians, nurses, and other medical professionals, are required to file refer a patient-physician connect.
To fill out refer a patient-physician connect, healthcare providers need to include relevant patient information, reason for referral, and any supporting medical records.
The purpose of refer a patient-physician connect is to ensure that patients receive appropriate care and treatment from qualified healthcare providers.
Information such as patient demographics, medical history, reason for referral, and contact information for both the referring and receiving physician must be reported on refer a patient-physician connect.
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