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We want to provide you with all pertinent information needed to make the referral process as easy as possible.
Verify insurance
Fax the following to 602-256-0795:
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Referral or authorization for patient visit
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Diagnosis/why is the patient coming for a visit
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Relevant Doctor notes, tests, film reports
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Demographics/face sheet (patient name, address, phone number, insurance information, Doctor’s name and phone number)
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Films will be needed for patient appointment
Once all information is faxed, you are more than welcome to e-mail us at info@arizonacns.com or call 602-256-2525 for an appointment.
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Diagnosis
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Authorization or referral
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Most recent relevant notes, film reports, Diagnostics tests, lab work
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Patient demographic data
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Films will be needed for office visits
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