This customizable document, Patient Referral, is taken from MCN Healthcare’s Outpatient Surgery and Ambulatory Services Policy and Procedure Manual. For more than 20 years, MCN has been the health care industry’s leading provider of policy and procedure templates, forms, competencies and other compliance tools.

MCN’s templates save you time, money and resources, rather than developing healthcare policy and procedure manuals from scratch.

Here is some sample content from Patient Referral:

	POLICY: It is the policy of this facility to accept those individuals who meet established criteria and require services that are within the facility's capacity to provide. When services are not available at this facility, efforts are made to refer the patient to the appropriate agency or facility. PROCEDURE: Utilize the patient assessment procedure and the preoperative assessment criteria for the facility to evaluate the patient. If the outcome of the assessment determines that the preoperative assessment criteria are not met and services could be better provided by another provider, the...
Second excerpt:
	...facility, efforts are made to refer the patient to the appropriate agency or facility. PROCEDURE: Utilize the patient assessment procedure and the preoperative assessment criteria for the facility to evaluate the patient. If the outcome of the assessment determines that the preoperative assessment criteria are not met and services could be better provided by another provider, the patient shall be given referrals. SUBJECT:PATIENT REFERRALREFERENCE #2001PAGE: 1DEPARTMENT: AMBULATORY...