endobj Giving, I WANT TO... Referral for specialist opinion should be considered for: Persistent unexplained: • White cell count >20 x 109/l • Neutrophilia >15 x 109/l • Monocytosis • Basophilia Suggested clinic to refer to KCH: General Haematology or Myeloid Clinic PLEASE ENSURE ALL RELEVANT RESULTS ARE SENT WITH THE REFERRAL Privacy Notice Members need a referral from their Primary Care Physician (PCP) to visit most specialists. Contact Us %PDF-1.5 %���� To convey clinically relevant information about patients or make an urgent referral … CHOC Children's is affiliated with theUC Irvine School of Medicine, CHOC LINKS Listed below are the specialties that currently have guidelines and forms. CHOC Children’s Specialists operates as a division of CHOC Children’s Hospital. … REASON FOR REFERRAL/ REQUEST FOR PRIOR AUTHORIZATION DIAGNOSIS: ICD10: SERVICE REQUESTED: CPT: UNITS: Medical Indication for Services: Supporting Documentation Attached: YES: *NO: * Referral cannot be processed without supporting clinical documentation CONTACT INFORMATION Name of Person Submitting Referral… Developed by CHOC physicians, in partnership with community physicians, these guidelines provide you with useful information in working up your patients, and contribute to making the appointment itself most meaningful by having the right clinical information available. Objectives: To determine the referral patterns and etiology of iron deficiency anemia (IDA) at an academic hematology center in northeast Mexico. Pediatric Endocrinology Referral Guidelines For appointments, please call the Patient Access Center at (888) 770 -2462 (888-770-CHOC) Complete the CHOC Children’s Specialists Endocrinology … Once we have received your request for a referral or a referral … Danish Qureshi Movie, What Are Tally Ho Papers Made From, Grey's Anatomy Merch Uk, Hmv Full Form, Woocommerce Plugin Coupon Code 2020, " />

choc gi referral guidelines

You are here:
Go to Top