Thank you for trusting Deaconess Hospital for your patient’s upcoming test, procedure and/or surgery.
We are dedicated to making your experience and your patient’s experience exceptional. In order to do so, we are asking that you complete our Provider Referral Form to reduce delays, ensure a smooth transition of care and that all of the appropriate information has been gathered before you and your patient arrive at Deaconess.
This form is designed to streamline our registration process and increase overall satisfaction for patients, office staff and providers.
We request that the Provider Referral Form be submitted at time of scheduling or, if for surgery, at least five days prior when possible. Upon completion of the form, you can print and send directly to our scheduling teams or fax to 509-473-7503 for surgery or 509-473-3085 for all other scheduling needs.
If you should have any question about this process, please do not hesitate to contact our Director of Professional Outreach, Trina Olson at 509-342-8423 or [email protected].
We look forward to taking care of your patients.
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