Specialty Referral Form

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Author: Orange County Health Department

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The Specialty Referral Form provides a template for HIV and Infectious Disease providers to refer patients to other specialty physicians, such as urologists, endocrinologists, obstetricians, and podiatrists.

Program: Community Health

Submitted Date: Aug 07, 2007 | Modified Date: Sep 30, 2025

Primary Toolkit: HIV/STI Toolkit | Secondary Toolkit: HIV/STI Toolkit

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Institution Type: LHD - County,

Keywords: Communications, Epidemiology, Infectious Disease

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