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Pediatric Feeding ProgramReferring Providers: Please fax this triage form with your referral to 2069853121 to ensure that the referral proceeds to the correct department. We may reach out with requests for additional urgent referrals to be placed for the patient while they wait to be seen in the PFP. Your patient\'s referral may be redirected to a more appropriate clinic If they do not meet the criteria for remaining on our waitlist.Referrals missing triage forms will close in 30 days
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How to fill out refer a patient to

01
Identify the patient who needs a referral.
02
Gather relevant information about the patient's medical history.
03
Determine the appropriate specialist or service for the referral.
04
Fill out the referral form with the patient's details and reasons for the referral.
05
Include any necessary test results or documents that the specialist may need.
06
Review the completed referral for accuracy.
07
Submit the referral to the designated department or directly to the specialist.

Who needs refer a patient to?

01
Patients requiring specialized care not provided by their primary healthcare provider.
02
Individuals needing further evaluation or treatment for complex medical conditions.
03
Patients who have health concerns that require expertise beyond what their current provider offers.
04
Persons needing second opinions or follow-up care from specialists.

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It is a process through which a healthcare provider directs a patient to another specialist or facility for further evaluation or treatment.
Typically, the primary care physician or any healthcare provider who identifies the need for specialized care is required to file a referral.
The form should be filled out with the patient's details, the reason for the referral, the specialist's information, and any relevant medical history that will assist in the patient's care.
The purpose is to ensure that patients receive comprehensive and specialized care that may not be provided by their primary care provider.
The referral must include the patient's name, date of birth, insurance information, reason for referral, and any pertinent medical records or history.
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