OHSU Referral Form - Patient Information Submission
This OHSU Referral Form is essential for referring patients to various specialties. It captures necessary patient information, demographics, and insurance details for processing referrals. Fill out the form accurately to ensure a smooth referral process.
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How do I fill this out?
To fill out this form, start by entering the patient's basic information such as name and date of birth. Next, specify the specialty to which the patient is being referred. Finally, ensure all required documents are attached before submission.
How to fill out the OHSU Referral Form - Patient Information Submission?
1
Enter the patient's name and date of birth.
2
Select the medical specialty for the referral.
3
Attach necessary medical records and documentation.
4
Provide your contact information as the referring provider.
5
Review the information for accuracy before submitting.
Who needs the OHSU Referral Form - Patient Information Submission?
1
General practitioners who need to refer patients to specialists.
2
Hospitals requiring patient information for further treatment.
3
Insurance companies needing documentation for claims processing.
4
Patients seeking specialized care and necessary referrals.
5
Healthcare facilities coordinating patient care across departments.
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1
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Click on the section of the form you want to edit.
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Make the required changes to the document.
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Review the edited form for any additional adjustments.
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Download the edited form or print it directly.
What are the instructions for submitting this form?
To submit the completed OHSU Referral Form, fax it to 503-346-6854. Alternatively, you can email it to the designated referral email address associated with OHSU. Ensure to attach all relevant patient medical records and insurance authorizations when submitting the form.
What are the important dates for this form in 2024 and 2025?
Stay updated on important referral submission deadlines throughout 2024 and 2025. For optimal patient care coordination, keep track of any changes to specialty guidelines or referral requirements as announced by OHSU. Regularly check the official OHSU website for updates on referral procedures.
What is the purpose of this form?
The purpose of the OHSU Referral Form is to facilitate the efficient referral process between healthcare providers. It ensures that all necessary patient information, demographics, and medical records are collected in a standardized format. By utilizing this form, healthcare professionals can streamline communication and enhance patient care continuity.
Tell me about this form and its components and fields line-by-line.
- 1. Patient Information: Includes name, date of birth, and contact details.
- 2. Referring Provider Information: Captures the provider's name, contact details, and specialty.
- 3. Referral Specialty: Selects the medical specialty to which the patient is being referred.
- 4. Medical Records: Requires attaching pertinent medical documentation.
What happens if I fail to submit this form?
Failing to submit this form could result in delays in patient care and referral processes. It is critical to submit all required fields and attachments to ensure proper handling of referrals. Incomplete submissions may lead to follow-up requests and unnecessary delays in patient appointments.
- Delayed Patient Care: Incomplete forms can lead to delays in scheduling appointments with specialists.
- Insurance Processing Issues: Missing information may hinder insurance claim processing.
- Increased Workload for Healthcare Providers: Providers may need to handle follow-up inquiries due to incomplete submissions.
How do I know when to use this form?
- 1. Routine Referrals: For standard visits that do not require immediate attention.
- 2. Semi-Urgent Referrals: Referral for issues needing attention within two weeks.
- 3. Urgent Referrals: For cases requiring immediate specialist evaluation within 48 hours.
Frequently Asked Questions
How do I start filling the OHSU Referral Form?
Begin by entering the patient's basic information, such as name and date of birth.
Can I edit the form after downloading it?
Yes, you can edit the PDF using PrintFriendly before downloading it.
What if I don't have all patient information?
It's essential to fill out all required fields to ensure a smooth referral process.
How can I attach additional documents?
Simply scan and digitally upload any additional documents needed with the referral.
Is there a limit to the number of specialties I can select?
You can select one specialty per referral, but additional referrals can be submitted for different specialties.
How do I submit the completed form?
You can fax the completed form to the specified fax number or send it via email.
What is the turnaround time for referrals?
Turnaround times vary, but urgent referrals are prioritized within 48 hours.
Where can I find more information on each specialty?
Visit the OHSU website for detailed information about specific specialties.
What if I'm unsure about the ICD-10 code?
Consult a coding specialist or refer to coding resources for assistance.
Can I save my edits to the form?
You can download the edited version of the form after making changes.
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