Get Npi For Osu Lung Center Columbus Oh Form

Completing the Npi For Osu Lung Center Columbus Oh Form online is a straightforward process designed to ensure accurate patient referrals. This guide provides clear, step-by-step instructions to assist you in filling out the necessary information efficiently.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to access the Npi For Osu Lung Center Columbus Oh Form and open it in your preferred digital editor.
2. Begin by filling in the date at the top of the form. This allows the center to track your submission time accurately.
3. Enter the patient’s full name in the designated fields: first name, middle initial, and last name.
4. Provide the patient’s address, ensuring you complete the street, city, state, and zip code fields to assist with accurate location details.
5. Fill in the patient's home phone number and an optional alternative contact number, if available.
6. Input the patient’s date of birth to confirm their identity and age-related treatment needs.
7. List the referring physician’s name, followed by their National Provider Identifier (NPI) number in the appropriate sections.
8. Check the appropriate reason for the patient’s visit from the provided options, or fill in ‘other’ if the reason is not listed.
9. In the office use only section, answer the questions about whether the patient has seen the pulmonologist before, scheduling status, and if the medical records have been received.
10. Indicate if an interpreter is necessary and specify the language if applicable.
11. Review all provided information for accuracy and completeness, ensuring all required fields are filled.
12. Upon completion, you can save your changes, download, print, or share the form as needed for submission.

Start filling out the Npi For Osu Lung Center Columbus Oh Form online today for a seamless referral process.