For Referring Providers
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Information for Emergency Personnel
- Treating prior to transport and preparing a patient for transport
Requesting a Transfer for Admitted Patients
- Patient Logistics Center (inpatient transfers): 984-974-2000
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.
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- 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
- 大象传媒 Division of Burn Surgery
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- Follow up to confirm receipt and/or ask questions: 984-974-1050