REFERRAL GUIDELINES
Allergy Consultations Ambulance-Air Ambulance Arava - Leflunomide - Pharmacy guideline Audiology Behavioral Health referrals Blepharoplasty Breast Pump Cardiac Rehab Case Management and Patient Referal Form Chiropractic Care Chronic Catheterization, Mgmt of Patients on Chronic Pain Management of Patients COX-2 Inhibitor - Celebrex - Pharmacy guideline Criteria for BH Emergency Ambulance Transport Depo-Provera - Pharmacy guideline Diabetes, Foot Care Diabetic Blood Glucose Monitoring Supplies - Pharmacy guideline Diabetic Education Diabetic Education_Contracted Providers Digestive Enzymes - Pharmacy guideline DME - Apnea DME - Nebulizers DME - Purchase vs. Rental DME - Supportive Devices for Feet DME - Therapeutic Shoes DME CPAP-BIPAP Duragesic (Fentanyl) Patches - Pharmacy guideline EEG Electroencephalographic Monitoring Electrical Bone Growth Stimulation FORM - Pharmacy PA Form - 6-06 FORM_ Pharmacy GI Med prior auth Formulary Overrides Gastroesophageal Reflux - Pharmacy guideline GERD_Gastroesophageal Reflux Disease Glucometers Growth Hormone Therapy for Children - Pharmacy guideline Hammertoe Syndrome Heel Spur Syndrome Hepatitis A Hepatitis C in Adults - Pharmacy guideline Home Health Hysterectomy Infusion Therapy Ingrown Toenails Inhaled Steroids - Pharmacy guideline Intermetatarsal Neuroma Intradiscal Electrothermal Therapy Lamisil (Terbinafine) - Pharmacy guideline Montelukast (Singulair) - Pharmacy guideline MRI of Breast Neupogen - Pharmacy guideline Neurology-EMG-NCV Consults Neurontin (Gabapentin) - Pharmacy guideline Neuropsychological Evals Occupational-Hand Therapy Orthopedic Referrals Ostomy Supplies Oxygen Therapy PET Scan Physical Therapy Plavix (Clopidogrel) - Pharmcy guideline Polysomnography - Sleep Disorder Psychotropic Medication - Pharmacy guideline Pulmonary Rehabilitation Rehabilitation Admissions Rheumatology Second-Generation Antihistamines - Pharmcy guideline Synagis (Palivizumab) - Pharmacy guideline Table of Contents for Pharmacy Guidelines Table of Contents for Referral Guidelines TENS Unit - Supplies Thiazolidinediones - Pharmacy guideline Total Body Photography Tubal Ligations Vasectomies Viscosupplementationfor Osteoarthritis