E-Referral | South Coast Radiology

e-Referral via Best Practice

EReferral Quick Start Guide

I would like to be set up to send referrals via Best Practice:

Practice Name*
Address*
Best Practice Version Level*
Estimated Date of Setup*
MM slash DD slash YYYY
Primary Customer Contact Name*
First Last
Contact Phone Number*
Contact Email*
Comments
IT provider name
IT Contact Details
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