Fax Referral for Clinical Genetics Services - University of Miami - medgen med miami 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Patient Information' section. Enter the patient's name, address, date of birth, and gender. Ensure accuracy as this information is crucial for proper identification.
3. Next, provide details about the referring physician in the 'Referring Physician Information' section. Include the physician's name, address, phone number, and fax number.
4. In the 'Reason for Referral' section, check all applicable boxes that describe why you are referring the patient. Be specific about any diagnostic evaluations or genetic counseling needed.
5. Attach any relevant medical records and ensure that all necessary documents are included before submission.
6. Once completed, save your changes and fax the form to (305) 243-3919 as instructed.

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