Here is a recommended Template to track your Healthcare Providers.
Click here to download an Excel formatted template for your Healthcare Provider’s list.
Do not post this information on your web pages or social media.
| Dr./Specialist Referrals for (My Support Group Name) EDS Support Group | |||||||
| HEALTHCARE PROVIDER CONTACT LIST | |||||||
| NAME | SPECIALTY | PHONE | HOSPITAL/PRACTICE | ADDRESS | REFERRED BY | REFERRAL NOTES | DATE ADD/DELETE |
| Dr. Brad Tinkle | Geneticist | 123-456-7891 | Advocate Children’s Hospital | 111 Anystreet Chicago, Ill | Mary Jones | EDS experienced; compassionate; good listener | 12/15/2015 (A) |
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