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Variety Care Referral Follow Up
At your last visit we referred you for specialty care. We want to make sure the appointment was made. Please be aware we can only assist with updates on this current referral, if you have any other questions or requests please call our office at 405-632-6688.
Name of Patient
What is the patient's date of birth?
Who is your Variety Care provider?
Which specialty referral are you responding to?
Was the appointment with a specialist made?
I need assistance
What date is/was the appointment with the specialist?
No, appointment was not made:
I have their number and I will call
I need to cancel my referral
What type of assistance do you need?
Should be Empty: