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Streamlined Provider Referral and E-Signature Process

Easily make referrals to your desired healthcare provider using EasyReferrals.com. Input minimal search criteria to view the maximum number of results. Choose your provider and click “Make a Referral.” For referrals requiring an electronic physician signature, access the appropriate option. Save preferred providers to your favorites for quick future access. Complete the required fields in the referral order form and send via E-Fax or save the referral. For assistance, contact our technical support team.

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Streamlined Provider Referral and E-Signature Process

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  1. Easyreferrals.com E-Signature

  2. Search for the Provider that you wish to make a referral to. *Reminder* The least amount of search criteria entered the more results displayed.

  3. Locate the provider for your referral destination and click “Make a Referral”

  4. If your referral requires an Electronic Physician Signature click here.

  5. Make a Referral to any Provider

  6. Not finding your provider? Click Here

  7. * Fields are RequiredFields Place a check here to add Practice/Provider to your Favorites which will allow you to continue making referrals to this Practice/Provider until the MRS Verification process is complete. Submit & Continue with making referral. Cancel your Practice/Provider Add

  8. Practices/Providers that have a similar name or fax number are displayed here. Send Referral to the selected provider. Save Provider and send Referral. Cancel the process.

  9. Input the required fields into the referral order form below….. * Fields are RequiredFields

  10. Fax Provider Referral Form Send Referral via E-Fax

  11. Support Web Site: http://www.easyreferrals.net/support -------------------------------------------------------------------------------------------------------------------- • Technical Support Contact Information • John Pinto • jpinto@medicalreferralsource.com • 520-468-7688 Option #1

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