Free Referral Fax Cover Sheet Template
Referral Fax Cover Sheet
FAX |
|---|
From: [YOUR NAME]
Company: [YOUR COMPANY NAME]
Email: [YOUR EMAIL]
To: [Recipient's Name]
Date: March 7, 2050
Re: Healthcare Referrals
Fax no: 1234567890
Message
Dear [Recipient's Name],
I am writing to inform you that a Referral Fax Cover Sheet has been sent to you regarding a recent referral. Please find attached the Referral Fax Cover Sheet for your review and necessary action.
Referral Details:
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Patient Name: [Patient Name]
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Date of Referral: March 7, 2050
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Referring Provider: [Referring Healthcare Provider Name]
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Reason for Referral: Follow-up on recent surgery
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Additional Notes: Please schedule an appointment within the next week.
Please acknowledge receipt of this Referral Fax Cover Sheet at your earliest convenience. Should you require any further information or clarification, please do not hesitate to contact me directly at the provided contact information. Thank you for your attention to this matter.
Sincerely,
[YOUR NAME]
