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How to fill out the Referral Form - CAMC.org - Camc online
Filling out the Referral Form for CAMC Women and Children’s Hospital is an essential step in ensuring a smooth referral process for patients. This guide aims to provide clear instructions on each section of the form to assist users in completing it efficiently and correctly.
Follow the steps to fill out the referral form accurately.
- Press the ‘Get Form’ button to access the Referral Form and open it in the online editor.
- In the 'Referred by (Dr.)' section, enter the name of the referring physician along with their contact phone number.
- Fill in the 'Office address' of the referring physician, making sure to include the complete address.
- In the 'Please schedule (patient name)' section, enter the name of the patient being referred, along with their age and phone number.
- Specify the doctor the patient is to see by selecting 'DR. HORSWELL'.
- In the 'Please evaluate for' section, circle the suspected diagnosis from the list provided. If there are additional concerns, you may fill in the 'Other (description)' section.
- Locate the area of concern on the included diagram and mark or circle it accordingly.
- After all fields are completed, you can choose to save the changes, download, print, or share the form as necessary.
Take the next step for a successful referral by completing the form online.
Fill Referral Form - CAMC.org - Camc
CAMC Outpatient Care Center Referral Form. Referral sheet will be faxed back to referring physician's office with appointment. Call the Transfer Center: . The CAMC Transfer Center facilitates access to CAMC services for patients, physicians and referring hospitals. Please note our referral forms have changed. To refer a patient to the CAMC Physical Therapy Center in Charleston, please complete our referral form and fax to . REFERRAL FORM. 17-8994. Use this contact form to request general information about CAMC services or locations, recognize CAMC staff or physicians for excellent care. Want to join the CAMC PMC team? Edit, sign, and share Referral Form - CAMC - camc online.
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