Difference between revisions of "Additional Referral Information"

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The following languages are displayed in the language list:
 
The following languages are displayed in the language list:
  
NA;English;Afrikaans;Akan;Albanian;ASL;Amharic;Arabic;Armenian;Assyrian;Ashanti;Azerbaijani;Bengali;Bosnian;Bulgarian;Burmese;Cambodian;Cantonese;Catalan;Chinese;Creole;Croatian;Czech;Danish;Dari;Dinka;Dutch;Estonian;Ewe;Fanti;Farsi;Finnish;Flemish;Frafra;French;Fuchow;Fukienese;Ga;German;Greek;Gujarati;Hakka;Hausa;Hebrew;Hindi;Hungarian;Ibo;Ilocano;Indonesian;Italian;Japanese;Katchi;Kermanji;Korean;Kurdish;Kwa;Lao;Latin;Latvian;Lithuanian;Macedonian;Malay;Malayalam;Maltese;Mandarin;Marathi;Norwegian;Pilipino;Persian;Polish;Portuguese;Punjabi;Pushtu;Romanian;Russian;Serbian;Shanghai;Singhalese;Slovak;Slovenian;Somali;Spanish;Swahili;Swedish;Tagalog;Taiwanese;Tamil;Telugu;Thai;Tigrinya;Toisan;Turkish;Twi;Ukrainian;Urdu;Vietnamese;Yiddish;Yoruba;Zulu;If not listed, use Comments
+
* English
 +
* Afrikaans
 +
* Akan
 +
* Albanian
 +
* ASL
 +
* Amharic
 +
* Arabic
 +
* Armenian
 +
* Assyrian
 +
* Ashanti
 +
* Azerbaijani
 +
* Bengali
 +
* Bosnian
 +
* Bulgarian
 +
* Burmese
 +
* Cambodian
 +
* Cantonese
 +
* Catalan
 +
* Chinese
 +
* Creole
 +
* Croatian
 +
* Czech
 +
* Danish
 +
* Dari
 +
* Dinka
 +
* Dutch
 +
* Estonian
 +
* Ewe
 +
* Fanti
 +
* Farsi
 +
* Finnish
 +
* Flemish
 +
* Frafra
 +
* French
 +
* Fuchow
 +
* Fukienese
 +
* Ga
 +
* German
 +
* Greek
 +
* Gujarati
 +
* Hakka
 +
* Hausa
 +
* Hebrew
 +
* Hindi
 +
* Hungarian
 +
* Ibo
 +
* Ilocano
 +
* Indonesian
 +
* Italian
 +
* Japanese
 +
* Katchi
 +
* Kermanji
 +
* Korean
 +
* Kurdish
 +
* Kwa
 +
* Lao
 +
* Latin
 +
* Latvian
 +
* Lithuanian
 +
* Macedonian
 +
* Malay
 +
* Malayalam
 +
* Maltese
 +
* Mandarin
 +
* Marathi
 +
* Norwegian
 +
* Pilipino
 +
* Persian
 +
* Polish
 +
* Portuguese
 +
* Punjabi
 +
* Pushtu
 +
* Romanian
 +
* Russian
 +
* Serbian
 +
* Shanghai
 +
* Singhalese
 +
* Slovak
 +
* Slovenian
 +
* Somali
 +
* Spanish
 +
* Swahili
 +
* Swedish
 +
* Tagalog
 +
* Taiwanese
 +
* Tamil
 +
* Telugu
 +
* Thai
 +
* Tigrinya
 +
* Toisan
 +
* Turkish
 +
* Twi
 +
* Ukrainian
 +
* Urdu
 +
* Vietnamese
 +
* Yiddish
 +
* Yoruba
 +
* Zulu
  
 
[[Image:Pms14.png]]
 
[[Image:Pms14.png]]
  
 
+
[[Category:Practice Management]][[Category:Applications]]
[[Category:System Management]][[Category:Practice Management]][[Category:Applications]]
 

Latest revision as of 12:16, 21 May 2009

The following sets of fields are optional and chosen by selecting yes to each of the following questions:

  • Family Doctor Information
  • Legal Representation
  • Employer Information
  • Interpreter Required
  • Transportation Required

Family Doctor Fields

The following fields are specific to the associated family doctor:

Pms7.png

Pms8.png

Legal Representation Fields

The following fields are specific to the associated legal representation of the claimant:

Pms9.png

Pms10.png

Employee Information Fields

The following fields are specific to the employment of the claimant:

Pms11.png

Pms12.png

Claimant Special Needs

The following fields describe any special needs that the claimant may have for interpreter or transportation:

Pms13.png

Languages

The following languages are displayed in the language list:

  • English
  • Afrikaans
  • Akan
  • Albanian
  • ASL
  • Amharic
  • Arabic
  • Armenian
  • Assyrian
  • Ashanti
  • Azerbaijani
  • Bengali
  • Bosnian
  • Bulgarian
  • Burmese
  • Cambodian
  • Cantonese
  • Catalan
  • Chinese
  • Creole
  • Croatian
  • Czech
  • Danish
  • Dari
  • Dinka
  • Dutch
  • Estonian
  • Ewe
  • Fanti
  • Farsi
  • Finnish
  • Flemish
  • Frafra
  • French
  • Fuchow
  • Fukienese
  • Ga
  • German
  • Greek
  • Gujarati
  • Hakka
  • Hausa
  • Hebrew
  • Hindi
  • Hungarian
  • Ibo
  • Ilocano
  • Indonesian
  • Italian
  • Japanese
  • Katchi
  • Kermanji
  • Korean
  • Kurdish
  • Kwa
  • Lao
  • Latin
  • Latvian
  • Lithuanian
  • Macedonian
  • Malay
  • Malayalam
  • Maltese
  • Mandarin
  • Marathi
  • Norwegian
  • Pilipino
  • Persian
  • Polish
  • Portuguese
  • Punjabi
  • Pushtu
  • Romanian
  • Russian
  • Serbian
  • Shanghai
  • Singhalese
  • Slovak
  • Slovenian
  • Somali
  • Spanish
  • Swahili
  • Swedish
  • Tagalog
  • Taiwanese
  • Tamil
  • Telugu
  • Thai
  • Tigrinya
  • Toisan
  • Turkish
  • Twi
  • Ukrainian
  • Urdu
  • Vietnamese
  • Yiddish
  • Yoruba
  • Zulu

Pms14.png