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Date: . Referring Physician: ... Please also fax the following items with this form to 678-326-4851: A copy of front/back of patient's insurance card.

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Definition: referring physician. referring physician. Usually a non-radiologist physician who sends a patient to a specialist for more information or treatment.

Ask your general practitioner or doctor to write you a referral. You can choose the individual specialist you want to be referred to or ask your doctor to recommend someone.

If the physician refusing the referral has an obligation to accept the referral and still refuses, the referring physician should report the refusal to the proper agency: a hospital medical staff committee, a contractual provider of medical services such as an HMO, or the state board of medical examiners.

A REFERRAL is a Practitioner's "Order" or a Member Request that facilitates a Member to see another Practitioner (example, a specialist) for a consultation or a health care service that the referring Practitioner believes is necessary but is not prepared or qualified to provide.

WARNING: A referring physician is not necessarily the attending physician. The attending physician, by definition, is the one chosen by the patient as having the most significant role in the determination and delivery of the individual's medical care.

Introduce yourself to new physicians or providers in the area. ... If you're the newbie, meet the neighbors. ... Be selective. ... Advertise your practice. ... Make it easy on referring doctors. ... Use a customer relationship management (CRM) tool. ... Meet the referring doctor.

Most referrals take one week to process. In some cases, your PCP may ask for a rush referral, which will take three (3) days. Continued on back. How will I know if my referral has been approved?

Anti-kickback laws keep doctors from paying other doctors directly for referrals. But in an effort to ensure hospitals, doctors' groups and other health providers better coordinate patient care, the Affordable Care Act makes allowances for keeping it in the medical family, so to speak.

A referral is necessary to make sure Medicare Benefits are paid at specialist or consultant referred rates, rather than at unreferred rates. In other words, patients do not need a referral to see a specialist, but they do need one to attract the relevant Medicare rebate.

Full name (including maiden name, if known) Date of birth, social security number, or DHMC medical record number. ... Medical history (associated medical conditions, current and ongoing treatments, X-rays, allergies, medications, etc.) Presenting symptoms/diagnosis and duration.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232