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M MERCY UNIVERSITY HOSPITAL, CORK LIMITED Grenville Place, Cork, Ireland. Tel: +353 (21) 427 1971 Fax: +353 (21) 427 6341 Email: inquiry much.i.e. www.muh.ie The Emergency Department Physiotherapy
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How to fill out referral form - emedie:
01
Start by entering your personal information, including your full name, contact details, and any other required identifying information.
02
Next, provide the necessary details about the patient you are referring. This may include their name, date of birth, medical history, and any relevant diagnostic results or test reports.
03
Specify the reason for the referral and the specific specialty or department you are referring the patient to. If there are any specific healthcare providers or facilities that you would like the patient to be referred to, make sure to mention that as well.
04
Include any additional information that may be relevant to the referral process, such as the urgency of the referral, any specific instructions or concerns, or any previous treatments or medications that the patient has undergone.
05
Before submitting the referral form, double-check all the information you have entered to ensure its accuracy and completeness.
Who needs referral form - emedie:
01
Physicians or healthcare providers who need to refer a patient to a specialist or a specific department within the healthcare system.
02
Patients who have been advised by their primary care physician or healthcare provider to seek specialized care or consultation from a specialist or a specific healthcare facility.
03
Insurance companies or healthcare administrators who require a referral form to process claims or determine the medical necessity of the referred healthcare services for coverage purposes.
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