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Highland Clinic Hematology/Oncology fax number

(318) 798-4450

Hematology/Oncology

Used for: Hematology/Oncology referral submissions and infusion requests

Fax destination details

Department
Hematology/Oncology
Purpose
Hematology/Oncology referral submissions and infusion requests
Form
Referral Form — Highland Clinic Hematology/Oncology Referral Form
Address
1455 E Bert Kouns Industrial Loop, Shreveport, LA 71105
Voice phone
318-798-4424

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Front/back copies of medical and pharmacy cards; include patient name, DOB, address, SSN; provide primary and secondary insurance with policy numbers; include pharmacy benefits (ID, RXBIN, RXGROUP, RXPCN); attach the most recent clinic notes, labs, pathology or imaging results; fax all infusion requests to 798-4450 Attn: Jami; indicate preferred location SHREVEPORT or MINDEN; fill diagnosis and ICD-10 code.

Official form instructions are published as a downloadable file on the organization's website.

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