Doshi referral 2026

1. Click ‘Get Form’ to open the doshi referral in the editor.
2. Begin by entering the patient's name, date of birth, and date at the top of the form. Ensure accuracy as this information is crucial for identification.
3. In the 'Reason for Exam/ICD-9' section, specify the reason for the examination and select the appropriate ICD-9 code from the provided list. This helps in categorizing the medical necessity.
4. Fill in any special instructions that may be relevant to the patient's care. This can include specific preparations or considerations for their exam.
5. The physician must sign and print their name at the bottom of the form, certifying that the exam is medically necessary.
6. Review all entered information for completeness and accuracy before submitting or sharing it through our platform.

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