If a patient loses or misplaces any of these forms or documents previously issued by the practice, a replacement form may be provided upon request.
- Referrals
- Care plans
- Pathology request forms
- Radiology request forms
- Other clinical documents
Fees
A administrative or replacement fee may be charged to cover the cost of:
- Locating and retrieving records
- Printing, copying, or electronic transmission
- Administrative and clinical time involved
- Re-issuing medical documentation
Replacement or administrative fees:
- Apply to each lost or misplaced document or when re-issuing copies
- Must be paid in full at the time the document is issued
- Are non-rebatable and non-refundable, including through Medicare or private health insurance
Patient Responsibility
Patients are responsible for the safe keeping of all referrals and request forms once issued.
