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Highland Clinic Hematology/Oncology fax number
(318) 798-4450
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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
- Website
- Visit organization website
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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