PATIENT REFERRAL PROCESS
Please fax the following information to our corporate office when referring a patient to Specialized Wound Management for wound care services:
- A copy of the facility's face sheet. If the patient is on hospice, please document that on the face sheet and provide the name of the hospice agency.
- A copy of the Physician's written/telephone order. The order should read:
- S.W.M. to evaluate and treat wound(s) as indicated.
- A verbal authorization from the patient's P.O.A. or a signed authorization on a Specialized Wound Management form.
You can obtain S.W.M. consent forms by calling
(888) 811-4677
ALL INFORMATION SHOULD BE FAXED TO:
(800) 605-8906
* S.W.M. is unable to see a patient until the above information has been received and the referral processed by our corporate office.
(888) 811-4677
ALL INFORMATION SHOULD BE FAXED TO:
(800) 605-8906
* S.W.M. is unable to see a patient until the above information has been received and the referral processed by our corporate office.