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​Create Referral

A referral is a formal recommendation for a patient to consult with another healthcare provider or
specialist for additional evaluation, treatment, or services.
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To create a referral, provide the following details:
​
1. Patient Information
  • Name: Enter the patient's full name (e.g., Ali Basit).
  • Marital Status: Specify if the patient is single, married, etc.
  • Full Address: Provide the patient's residential address.
  • Phone: Enter the patient's contact number.
  • Email: Add the patient's email address.
  • Gender: Note the patient’s gender, age, and date of birth (e.g., Male | 24 y/o | 05/01/2000).
  • Allergies: List any known allergies (e.g., Dust, Peanuts).
  • Employment Status: Indicate whether the patient is employed, unemployed, etc.

2. Referral From
  • Name: Enter the name of the referring provider (e.g., Clinic Owner).
  • Specialty: Note their area of expertise (e.g., Child Care, Adult Care).
  • Work Phone: Provide their contact number.
  • Fax: Add the fax number if available.
  • Email: Include their email address

3. Referring To
  • Provider's Name: Specify the name of the provider to whom the patient is being referred.
  • Search for Provider: Use the search function to locate the provider in the system.
  • Start Date: Enter the date the referral starts.
  • Expiry Date: Specify when the referral expires.
  • Authorization Code: Provide the code if required.

4. Patient's Insurance Information
  • Insurance Type: Select the type of insurance (e.g., Private, Medicaid).
  • Type, Company, Plan, Group, Policy: Provide detailed insurance information or mark as N/A if not applicable.

5. Referral Notes
  • Instructions: Add any specific instructions related to the referral (up to 500 characters).
  • Reason for Referral: Briefly state the reason for the referral (up to 300 characters).
  • Search From Patient Diagnosis Codes: Search and select relevant diagnosis codes for the referral.
  • Clinical Notes: Add detailed clinical notes to support the referral (up to 5000 characters).
  • Internal Notes: Include any internal information not visible to the patient (optional).

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Location:

Houston Office
American EMR LLC.
​11606 Westlock Drive,
Houston, Texas U.S.A.
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  • Home
  • Features
    • Appointments
    • Tasks Managment
    • Medical Cards
    • Custome Template
    • Manage Inventory
    • Memberships
    • Custom Roles
    • Service Management
    • Financial Report
    • Charts
    • Waiting Room
  • Pricing
    • EMR Software
    • Medical Billing
    • Virtual Services
  • Blogs
  • About