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Refer a Patient

Thank you for choosing Cancer Care Northwest as a participant in the care of your patient.

To help ensure that your patient receives the best care possible, please provide us with the medical information listed below at least three days before your patient’s scheduled appointment. If you have not yet received the final documents requested, then please mark the “results pending” check box.  If you do not have the information requested, then please mark the “do not have” check box. Prior to faxing medical records, please contact a scheduler at any of our offices. This ensures that we receive all necessary documentation and delivery of records. To reach a scheduler, call one of our offices below and ask to speak with a scheduler.

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Cancer Care Northwest Offices
 

South Office
509-228-1000
509-252-9337 (fax)

North Office
509-228-1400
509-252-9337 (fax)

Valley Office
509-228-1200
509-252-9337 (fax)

Downtown Office
509-228-1600
509-252-9337 (fax)

ALL pathology reports and special tests (such as Her2Nu or an ER & PR report), and bone marrow biopsies/aspirations 
   □ Results pending
   □ Do not have         

Recent labs including tumor markers (CEA, PSA, etc.)
    □ Results pending
    □ Do not have

Consultations and progress notes
    □ Results pending
    □ Do not have     

Operative report, discharge summary
    □ Results pending
    □ Do not have

Chemo flow sheets, radiation summaries 
    □ Results pending
    □ Do not have

Actual films or disks (if films are not available on Stentor) and reports on all CXRs, CTs, MRIs, PETs, bone scans, EKGs, MUGAs, *-oscopies and other related tests.
    □ Results pending
    □ Do not have 

Patient profile containing demographic and insurance information.
    □ Results pending
    □ Do not have

Copy of insurance cards (front and back) and referral if required.
    □ Results pending
    □ Do not have

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