Electronic ReferralHow to Create a Referral
How to Create a Referral
Search for Physician
Select the Physician you wish to send Referral
How to Create a Referral
Search for Location
Select the correct Practice Location
How to Create a Referral
Search for Authorized User
Select the correct Authorized User
How to Create a Referral
Click on the category you wish to order from
How to Create a Referral
Click on Item you are wanting to order
How to Create a Referral
Fill out the order accordingly.Everything in red is required!
How to Create a Referral
Review the item(s) you have selected.Click Process Order when complete.
How to Create a Referral
Final Order Checkout screen
Attach any Additional Documents necessary
Enter in correct Order Date
How to Create a Referral
Click on Complete Order
Add any Special Instructions / Chart Notes
How to Create a Referral
Click on Request DMERC CMN
Or Add State Form
How to Create a Referral
Fill out required fields in red and click on Submit
How to Create a Referral
Referral is Now submitted and Pending Signature from Physician!