NEW PATIENT REFERRAL FORM
- Ask the referring secretary to fax the following reports if pertinent: PATHOLOGY, PROGRESS NOTES, X-RAY REPORTS (to include any CT scans), copies of primary and secondary health insurance cards, and LAB RESULTS TO 843-577-6523. Have them put to your attention. MUST HAVE DOB ON THE INSURED IF NOT THE PT.
- If this is an out-of-town referral, ask them to send the actual slides and x-ray films to our office (this includes CT scans).