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Concord Orthopedics P.A. 264 Pleasant Street Concord, NH 03301 8006602672 WWW.CONCORDORTHO.COM CONCORD 264 Pleasant Street 6032243368 Fax 6032287268 WYNDHAM Castle Commons 49 Range Road 6038709021
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How to fill out appointment by fax referral:

01
Gather all necessary information: Before filling out the appointment by fax referral form, make sure to have all the required information handy. This may include the patient's name, contact details, insurance information, reason for referral, and any supporting medical documents.
02
Obtain the referral form: Typically, the healthcare provider who is referring the patient will provide the referral form. This form may be available in both physical and electronic formats. If it's a physical form, ensure you have a fax machine or access to a fax service.
03
Fill in patient details: Start by filling in the patient's information accurately. This includes their full name, address, contact number, date of birth, and any other relevant personal details.
04
Provide referring healthcare provider details: Next, include all details related to the healthcare provider who is making the referral. This includes their name, clinic or hospital name, contact information, and any other required details.
05
Indicate the reason for referral: Clearly state the reason for the referral. This may involve describing the patient's medical condition, symptoms, or the need for specialized treatment.
06
Attach supporting documents: If there are any supporting documents, such as medical records, test results, or previous consultation notes, make sure to attach them securely to the fax referral form. This helps the receiving healthcare provider to have a complete understanding of the patient's medical history.
07
Double-check for accuracy: Before faxing the referral form, take a moment to review all the filled-out information. Ensure that all details are accurate and legible. Errors in the referral form may cause delays or confusion in the appointment scheduling process.

Who needs appointment by fax referral?

01
Patients requiring specialized care: Appointment by fax referral is often required for patients who need specialized care that their primary healthcare provider may not be able to provide. This could include referrals to specialists such as cardiologists, neurologists, or orthopedic surgeons.
02
Insurance network requirements: Some insurance providers may require a referral for certain healthcare services to ensure that they are medically necessary. Patients covered under such insurance plans may need a referral by fax to access certain treatments or consultations.
03
Health Maintenance Organization (HMO) patients: HMOs often require their patients to obtain a referral from their primary care physician before seeking care from a specialist or visiting a specific healthcare facility. These referrals are typically requested through fax to ensure timely communication between healthcare providers.
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Appointment by fax referral is a method of requesting a patient appointment through fax communication.
Healthcare providers or facilities are required to file appointment by fax referral.
Appointment by fax referral can be filled out by completing a specific form and faxing it to the appropriate department.
The purpose of appointment by fax referral is to facilitate and streamline the process of scheduling patient appointments.
Appointment date, time, patient information, referring provider information, and reason for appointment must be reported on appointment by fax referral.
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