Get Stanford Referral Form

Completing the Stanford Referral Form online is a straightforward process that helps ensure that all necessary information is gathered efficiently. This guide provides you with a step-by-step approach to filling out the form accurately and comprehensively.

Follow the steps to successfully complete the Stanford Referral Form online.

1. Press the ‘Get Form’ button to access the Stanford Referral Form and open it in your preferred document editor.
2. Fill in the contact information for the referring physician at the top of the form, including their name, phone number, fax number, and address. Ensure that all fields are accurately completed.
3. Provide the required patient information. Include the patient’s last name, first name, middle initial, gender, date of birth, and contact numbers. Ensure that the city and state are also filled in correctly.
4. Indicate if the patient needs an interpreter by selecting 'Yes' or 'No'. If applicable, specify the language required for interpretation.
5. Enter the patient's diagnosis and specify the service requested or specialty required, such as 'Lung Transplant' or any other needs.
6. Specify the physician requested and the type of service needed, whether it's a consultation, treatment, or another category.
7. In the 'Reason for Referral' section, provide details regarding the reason for the referral. Remember to attach any necessary medical documentation, including recent laboratory results, diagnostic imaging, clinic notes, demographics sheets, and insurance information.
8. After filling out all sections, review the information for accuracy. Once confirmed, you can choose to save your changes, download the completed form, print it, or share it as needed.

Start completing your referral documents online today for a seamless process.