Get Nm Lovelace Medical Group Referral Form Ob/gyn 2014-2025

Filling out the NM Lovelace Medical Group Referral Form OB/GYN online can streamline the referral process for patients seeking specialized care. This comprehensive guide will take you through each section of the form, ensuring a smooth and efficient completion.

Follow the steps to successfully complete the referral form.

1. Click ‘Get Form’ button to obtain the referral form and open it in your preferred editor.
2. Begin by entering the patient's name and date of birth in the designated fields. Ensure that all personal information is accurate to avoid any potential delays in processing the referral.
3. Next, provide the patient's home and cell phone numbers. This information is crucial for contact purposes.
4. Fill in the insurance details, including the name of the provider and any relevant policy numbers or identification necessary for billing.
5. Input the referring provider's name and group name, along with their address, phone number, and fax number for communications.
6. Indicate the estimated delivery date for OB/Prenatal patients. This helps in evaluating the timing for necessary appointments and treatments.
7. Choose the patient's provider preference from the available options: OB-GYN, Midwife, or Any available provider. This selection will affect the next steps in the referral process.
8. Select the preferred location for office visits and delivery. Options include Lovelace Women’s Hospital or Lovelace Westside Hospital/Rio Rancho. This selection ensures that the patient is referred to their desired location.
9. For GYN/Women’s Health, specify the GYN diagnosis being addressed, or evaluate/treat needs. You can also select from the services offered, such as annual exams, birth control, menopause symptoms, minimally invasive gynecology surgery, urogynecology consults, and STD testing.
10. Once all sections of the form are filled out, review the information for accuracy. After confirming everything is correct, save your changes. You can also choose to download, print, or share the completed form via fax or email as necessary.

Complete the NM Lovelace Medical Group Referral Form OB/GYN online today for efficient patient referrals.