Get Physician Referral Management Services Slucare Call Center - Slu

Filling out the Physician Referral Management Services SLUCare Call Center form online is a straightforward process designed to facilitate efficient referrals to specialists. This guide will provide you with clear, step-by-step instructions to ensure you complete the form accurately and effectively.

Follow the steps to complete the form successfully.

1. Press the ‘Get Form’ button to access the form, enabling you to work on it in your chosen online platform.
2. Begin by entering the referring physician's information. Fill in their name, followed by the date and time of the referral.
3. Complete the address section, providing the street address, city, state, and zip code for the referring physician.
4. Next, input the referring physician's phone number and fax number. Ensure both numbers are accurate for proper communication.
5. Move on to the patient information section. Enter the patient's full name and date of birth.
6. Continue filling out the patient's address details, including street address, city, state, and zip code.
7. Provide the patient's preferred phone number and social security number; these may be necessary for their healthcare records.
8. Indicate the type of insurance held by the patient. If applicable, attach the demographic sheet as indicated.
9. Specify the requested specialty for the referral, clarifying the clinical reason for referral in the designated section.
10. Select the preferred appointment type: first available or provide details for ‘other’ if necessary.
11. Indicate whether a consult is required, or if it includes a transfer of care. Make sure to inform the patient that they will be contacted by a SLUCare representative.
12. Finally, have the referring physician sign the form electronically at the designated signature section.
13. Once you have completed the form, save any changes, and options may be available to download, print, or share the form depending on your needs.

Ensure your referrals are completed accurately by filling out the Physician Referral Management Services form online today.