osumc referral form

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download our referral form or use your own, then fax to: 614-293-1456. referral assistance: 1-614-293-5123. need help with the referral process or form?, want to expedite an urgent request or check on status of referral?, our referral specialists will be happy to assist you in navigating referrals., if urgent appointment is needed, please call 614-293-5066 to speak with a scheduling representative., please fill out this form completely, include any clinical documentation relevant to this referral, and fax all documents to 614-293-9449. missing information (including clinical documentation) may, mail any additional imaging cds and/or documentation to: 452 w. 10th ave., suite 5216, columbus, oh 43210. clinical documentation included., what information is included in a written referral form , what information is included in a written referral form, ohio state hospital transfer center , ohio state hospital transfer center, what information is included in a referral form , what information is included in a referral form, osu vet hospital referral form , osu vet hospital referral form

(examples include: insurance cards, imaging, lab work, office procedures, office notes, etc.), patient information: first name: middle name: last name: street address: city: state:., the ohio state university wexner medical center., 1-800-293-5123; option 1. our regional outreach team is here to assist you in accessing the resources, education and patient referral information you need most from ohio, at the ohio state wexner medical center, we consider referring physicians our valued partners., learn how and heart transplant referral; lung transplant referral; kidney transplant referral; kidney-pancreas transplant referral; liver transplant referral; pancreas transplant referral; auto islet transplant referral, to refer a patient, contact the james line’s new patient referral center at 614-293-5066 or 800-293-5066 to schedule an appointment for a diagnosed or undiagnosed patient., you can also download our referral form and fax it to 614-293-9449. we believe this simple, quick means of referral facilitates prompt and efficient, what information is included in a written referral form, ohio state hospital transfer center, what information is included in a referral form, osu vet hospital referral form, the difference between an insurance authorization and an insurance verification, physician referral form template, osu neurology referral form, osu transfer center phone number, the difference between an insurance authorization and an insurance verification , the difference between an insurance authorization and an insurance verification, physician referral form template , physician referral form template, osu neurology referral form , osu neurology referral form, osu transfer center phone number , osu transfer center phone number

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