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Referrals
are written authorizations for patients who are members of managed care
plans to see specialist physicians or to have certain diagnostic tests
performed. In some cases, they consist of forms completed by the staff
of the primary care physician. In other cases, telephone or computer authorization
must be obtained from the managed care plan. We are happy to provide our
patients with referrals when care is needed which cannot be provided by
our own physicians or when tests need to be conducted which cannot be
conducted in our own office. By reading your member handbook, you can
usually become familiar with the rules governing referrals provided by
your plan. In addition, we have adopted some rules governing referral
requests here in our own office. These rules are consistent with our philosophy
of providing the best comprehensive health care to all our patients. Please
read them before requesting referrals from our physicians or staff.
- Routine referrals are prepared by dedicated members of our
staff. They are usually ready within two business days. We will make
every effort to prepare emergency referrals quickly. Our staff is
busy insuring the best care for all of our patients. Please do not
expect them to stop their own work to prepare referrals which are
not emergencies.
- Referrals are NEVER mailed or faxed. Please do not ask us to make
an exception.
- Referrals are NEVER back-dated. This is prohibited by
all managed care plans. Do not embarrass us by asking to back-date
a referral. If you go to a specialist without a referral, we suggest
you obtain a bill from that physician and submit it to your managed
care plan along with an explanation of why you were unable to obtain
a referral prior to your visit.
- Referrals are not provided without a visit to our office. In many
cases, we can help you avoid a visit to another doctor by handling
your problem in our own office. Although you may feel a visit to another
doctor is essential, we bear ultimate responsibility for the outcome
of your medical condition. Consequently, we appreciate being consulted
about your problem prior to a visit with a specialist.
- In more than ten years in practice, we have developed a roster
of specialists whom we know and trust. If you require a referral to
a specialist, allow us to recommend someone to you. Most referrals
to specialists authorize a single visit. The specialist will then
report back to us and a follow-up plan will be made.
- We realize that some patients have different expectations of the
role of the primary care physican. As board-certified Family Physicians,
we believe that by entering into a life-long relationship with our
patients, we can be effective healers. If you have chosen us to be
your primary care physicians, we appreciate your trust. If however,
you are uncomfortable with our policies, our staff will be happy to
assist you in locating another primary care physician that may be
more suited to your needs.
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