The form is completed so medical professionals can communicate about the patient's case. This process allows the patients to receive more diversified or specialized care, maximizing their quality of life. Insurance companies also require this if patients want their secondary healthcare practitioner visits covered. They must show proof that they are referred to the specialists by a primary healthcare practitioner rather than visiting them directly.

Medical Referral Form
Download our medical referral form (PDF) template to improve your daily workflow and gather patient information cohesively.
Medical Referral Form Template
Commonly asked questions
It is only completed by a doctor. If you are a patient wanting to be referred, talk to your general practitioner or nurse practitioner. When you are being referred from a primary healthcare practitioner to a secondary healthcare practitioner or between specialties, a Medical Referral Form is often required.
The Medical Referral Form is a specific type of healthcare referral form used primarily by medical professionals to refer patients to specialists within the medical field. In contrast, a general healthcare referral form may be used in broader healthcare services, including referrals to allied health professionals like physical therapists, occupational therapists, or mental health providers. While both forms facilitate referrals, the Medical Referral Form focuses more on medical diagnoses and treatments.
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