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Refer a Patient to a Specialist
Primary care providers must use the Maryland Uniform Consultation Referral Form (PDF)when referring MedStar Family Choice members to Specialists. The forms are valid for 180 days. Complete the referral form in its entirety and the authorizing signature box must be signed by the PCP. Give the original to the patient and fax or mail a copy to the specialist. Keep a copy in the member’s medical record.
Specialists must directly refer MedStar Family Choice members for radiology and laboratory services. Please do not send the patient back to the primary care physician for these services. Specialists may not refer to other specialists. (An exception to this is that an OB/GYN could refer to a high-risk OB/GYN.)
For laboratory services, providers must use a LabCorp requisition form. For radiology services, providers may use a radiology requisition form, a script or the Maryland Uniform Consultation Referral Form to refer to an in-network radiology center.
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