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One Care, Inc. 1500 Market St. 1200 12TH Floor, East Tower Philadelphia, PA 19102 Office Phone: (215) 6655763 DATE: CLIENT INTAKE TAKEN BY: DIVISION PROPRIETARY MAYOR: PRIVATE FACILITY NAME: (LAST,
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How to fill out referral forms - one:

01
Start by gathering all the necessary information, such as the patient's name, contact details, and relevant medical history. Make sure to include any specific instructions or requirements provided by the referring party.
02
Fill out the referral form accurately and legibly. Double-check the information you have entered to avoid any errors or missing details.
03
If there are any sections or questions that you are unsure about, seek clarification from the referring party or supervisor before submitting the form.
04
Attach any supporting documents or medical records that may be required along with the referral form.
05
Review the form one last time to ensure its completeness and accuracy before submitting it through the designated channels.

Who needs referral forms - one:

01
Medical professionals: Referral forms are commonly used within the healthcare industry by doctors, specialists, and other medical professionals. They use referral forms to refer their patients to other healthcare providers or services.
02
Patients: Patients may require referral forms when seeking specialized medical care that requires a referral from their primary care physician or healthcare provider.
03
Insurance companies: Referral forms are also used by insurance companies to verify the medical necessity of certain procedures or treatments and to determine coverage eligibility.
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