Blogu Vyombo vya habari Ajira Wagonjwa wa Kimataifa Mtihani wa Macho
Omba Kupigiwa Simu

Refer A Patient

Create a method for monitoring referral report due dates, so that reminders can be sent. This also documents that the patient is being followed during the referral period. Conduct quarterly audits to determine if there are specific physicians who are not timely. If you find a physician is inexpedient, consider referring future patients to a different specialist.

    Referring Doctor’s Details

    Doctor's Full Name

    Doctor's Email ID

    Ikiwa ungependa kuwa na nakala dijitali ya risiti au ripoti zako, tafadhali weka kitambulisho chako msingi cha barua pepe.

    Doctor’s Mobile Number

    Tafadhali weka nambari yako msingi ya simu ili mwakilishi wetu aweze kuwasiliana nawe ili kuthibitisha miadi yako.

    Patient Details

    Jina Kamili la Mgonjwa

    Patient's Email ID

    Ikiwa ungependa kuwa na nakala dijitali ya risiti au ripoti zako, tafadhali weka kitambulisho chako msingi cha barua pepe.

    Nambari ya Simu

    Tafadhali weka nambari yako msingi ya simu ili mwakilishi wetu aweze kuwasiliana nawe ili kuthibitisha miadi yako.

    Reports (optional)

    Kushiriki ripoti kutoka kwa miadi ya awali itasaidia daktari kukupa utambuzi sahihi zaidi. Upeo wa faili 5 zinaweza kupakiwa na zinahitaji kuwa katika umbizo la PDF na zisizidi 5mb kwa kila faili.

    Hospital Referred To

    Mahali

    [hospitals]

    Doctor (Optional)

    [doctors]

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