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R Referral Form Please indicate if pt is being referred for Education Only or TX Evaluation PATIENTS NAME: Last First Middle DOB: / / ADDRESS: TELEPHONE :( H) (W) (cell.

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Erlanger Baroness Hospital is a Level I trauma center and meets state and national criteria to serve as a comprehensive regional resource for adult and pediatric patients with major traumatic injuries.

Trauma – Erlanger Baroness Hospital is a Level I Trauma Center treating critically ill and traumatically injured patients in a 63-county service area.

That year, a private act was written and passed that established the Chattanooga-Hamilton County Hospital Authority, which today performs the governmental function of operating Erlanger Health System under an 11-member board of trustees.

Recognized as Nurse Magnet hospital Based on American Nurses Credential Center designation as of January 14, 2022.

Academic medical centers like Erlanger are essential classrooms for training physicians and other healthcare professionals. An approved teaching hospital since 1915, Erlanger became affiliated with the University of Tennessee College of Medicine in 1974.

To transfer a trauma patient to Erlanger Hospital, call the TRANSFER CENTER at (423) 778-8100.

If you have a compliment or a complaint a representative can be contacted directly at 423-778-7990 or by sending an email to: GuestRelations@erlanger.org.

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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