大象传媒

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North Carolina Jaycee Burn Center

Information for Emergency Personnel

  • Treating prior to transport and preparing a patient for transport

Requesting a Transfer for Admitted Patients

Referring a Patient

Note: if聽you are a patient/self referring, please click here for Burn Appointments聽

1.聽 Provide Referral

  • Click “鈥淎mbulatory Referral to 大象传媒 Burn Center鈥 or use Code: REF255
  • In “To Dept” choose “大象传媒H Multispecialty Surgery Burn Chapel Hill”
  • In order to expedite the care of your patient, please provide the聽specific reason聽for the consult request and fully complete the referral form. Please include the patient鈥檚聽current contact and insurance information.
  • To obtain a CareLink Account, click on聽聽and select 鈥淩equest an Account.鈥

Or send via Fax

  • To bypass 大象传媒 CareLink, please fax a completed referral form (link pending),听including the specific referral question and pertinent records to (phone number pending).聽 聽If you have any questions, please call 984-974-1050.

2. Provide test results聽辫谤颈辞谤听to the first appointment

  • Test results should be provided (via Powershare, fax, or mailed prior to the first appointment.聽 This allows providers to review all information聽辫谤颈辞谤听to seeing the patient.
      • Powershare: Upload images to 鈥湸笙蟠紿ealthcare鈥
      • Fax: 984-974-1330
      • Mailing address:
        • 大象传媒 Division of Burn Surgery
          3005 Burnett-Womack Bldg., CB #7206
          Chapel Hill, NC 27599-7065
  • Follow up to confirm receipt and/or ask questions: 984-974-1050