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英文字典中文字典相关资料:


  • Referrals - CHOC - Childrens Hospital of Orange County
    Refer to a CHOC Specialist Referrals can be placed online through the eCeptionist Referral Portal
  • Referral Guidelines | CHOC Specialists
    Developed by CHOC Specialists, in partnership with community physicians, these guidelines provide you with useful information in working up your patients, and contribute to making the appointment itself most meaningful by having the right clinical information available
  • CHOC Health Alliance Phone and Fax Numbers
    Departments Telephone Number Fax Number Provider Services 800-387-1103 714-509-7015 Member Services 800-424-2462 855-288-6313 Credentialing 800-387-1103 714-509-7016 Prior Authorization Clinical Records 800-387-1103 858-966-5867 Prior Authorization 800-387-1103 858-966-5867 Case Management (General Intake Number) 800-387-1103 855-288-6313 Inpatient Referrals 800-387-1103 855-867-0868 Provider
  • Division of Ophthalmology Referral Request - CHOC
    2 Please describe the patient’s chief complaint and include onset and laboratory results: 3 What is the key question you want us to answer? To expedite appointment scheduling, please provide your referral electronically at choc org referrals or via FAX at 1-855-246-2329: This completed form Medical records related to the chief complaint
  • Patient Forms - CHOC Community Pediatrics | CHOC Primary Care
    To expedite your first visit with us, print and fill out the forms before coming into our office
  • NEUROLOGY REFERRAL FORM - CHOC
    Please include all prior diagnostic studies and pertinent medical records with EVERY referral that is currently not in our EMR system, by scanning, faxing them to (855) 246-2329, or uploading them to the CHOC Portal
  • Patient Forms - PAM - Pediatric and Adult Medicine | CHOC Primary Care
    To expedite your first visit with us, print and fill out the forms before coming into our office
  • Provider Manual and Forms - CHOC Health Alliance
    The provider manual is a CHOC Health Alliance (CHA) administrative guide containing information to assist health care professionals with general information, policies, and procedures to assist when providing healthcare to our members
  • CHOC Primary Care - Patient Forms - Orange Docs of Kids and Teens
    To expedite your first appointment, please arrive a few minutes early to complete registration so that we have all the necessary information to treat your child You may also download and print your forms here, fill them out ahead of time, and bring them with you to your first appointment
  • FOR OFFICE USE ONLY: MRN # Patient Information Form Pt. Name DOB
    Patient Information Form NOTE- If you have more than one child, please complete the family related information first Copies will then be made to complete the information specific to each patient First Name: Date of Birth: Ethnicity: Race: Middle Initial:





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