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Referral to Ascension St John Healthy Lifestyles Tulsa WEIGHT MANAGEMENT PROGRAM Fax to (918) 8565503Patient Information ___ Last NameFirst NameMiddleDate of Birth___ AddressCityStateZip Code___ PhoneEmailProgram
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What is soonercareinsure oklahoma referral form?
The Soonercareinsure Oklahoma referral form is a document used by healthcare providers to refer patients within the SoonerCare program for specialized services or additional treatments.
Who is required to file soonercareinsure oklahoma referral form?
Healthcare providers participating in the SoonerCare program are required to file the referral form when referring patients to specialists or for additional services.
How to fill out soonercareinsure oklahoma referral form?
To fill out the Soonercareinsure Oklahoma referral form, providers must enter the patient's personal information, the reason for the referral, and any necessary medical information pertaining to the patient's condition.
What is the purpose of soonercareinsure oklahoma referral form?
The purpose of the Soonercareinsure Oklahoma referral form is to streamline the process of patient referrals, ensuring that patients receive appropriate and coordinated care within the SoonerCare system.
What information must be reported on soonercareinsure oklahoma referral form?
The Soonercareinsure Oklahoma referral form must include the patient's name, date of birth, Medicaid number, the referring provider's information, details of the referral, and any relevant medical history.
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