Referral

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Referral Checklist

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By referring patients requiring wound care services to our team, we can work collaboratively to enhance their recovery process.

Once you have identified a potential patient appropriate for consult/evaluation and treatment, you must submit the following documentations.

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We only need a few pieces of required documentation to start processing a referral.

Face sheet/Patient’s demographics (Required)
Signed physician/PA/NP order (Required)
Insurance information (Required)
Include any family members who should be contacted for appointment scheduling (Optional)

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OTHER HELPFUL DOCUMENTATION

This information is extremely helpful and allows our team to more efficiently process the referral.

Wound Photos
History and Physical
Any recent progress notes, if available

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You can choose how to submit the documents whether through our email, fax, or online referral portal.

Please note that if you submit through our email and fax, you do not need to fill out the online referral form.

*Surgical wounds created in the last 90 days must have an order from the surgeon approving West Coast Wound to evaluate and treat due to a 90-day global period.

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Choose the Right West Coast Wound Center Location to Refer Your Patient

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Fresno

[/fusion_text][fusion_checklist hide_on_mobile=”small-visibility,medium-visibility,large-visibility” circle=”no” iconcolor=”#1157a8″][fusion_li_item icon=”fa-location-arrow fas”]

3636 N First St Suite 150, Fresno, CA 93726

[/fusion_li_item][fusion_li_item icon=”fa-phone-volume fas”]Phone: (559) 825-1980[/fusion_li_item][fusion_li_item icon=”fa-fax fas”]

Fax: (559) 825-1981

[/fusion_li_item][fusion_li_item icon=”fa-mail-bulk fas”]

info@westcoastwoundcenter.com

Northridge

[/fusion_text][fusion_checklist hide_on_mobile=”small-visibility,medium-visibility,large-visibility” circle=”no” iconcolor=”#1157a8″][fusion_li_item icon=”fa-location-arrow fas”]

8349 Reseda Blvd., Suite F Northridge, CA 91324

[/fusion_li_item][fusion_li_item icon=”fa-phone-volume fas”]Phone: (818) 928-0004[/fusion_li_item][fusion_li_item icon=”fa-fax fas”]

Fax: (818) 928-0005

[/fusion_li_item][fusion_li_item icon=”fa-mail-bulk fas”]

northridge@westcoastwoundcenter.com

Inglewood

[/fusion_text][fusion_checklist hide_on_mobile=”small-visibility,medium-visibility,large-visibility” circle=”no” iconcolor=”#1157a8″][fusion_li_item icon=”fa-location-arrow fas”]

323 N Prairie Ave., Suite 320, Los Angeles, 90301

[/fusion_li_item][fusion_li_item icon=”fa-phone-volume fas”]

Phone: (424) 480-1800

[/fusion_li_item][fusion_li_item icon=”fa-fax fas”]

Fax: (424) 480-1880

[/fusion_li_item][fusion_li_item icon=”fa-mail-bulk fas”]

inglewood@westcoastwoundcenter.com

Austin

[/fusion_text][fusion_checklist hide_on_mobile=”small-visibility,medium-visibility,large-visibility” circle=”no” iconcolor=”#1157a8″][fusion_li_item icon=”fa-location-arrow fas”]

4422 Pack Saddle Pass Suite 103, Austin, TX 78745

[/fusion_li_item][fusion_li_item icon=”fa-phone-volume fas”]

Phone: (512) 649-9712

[/fusion_li_item][fusion_li_item icon=”fa-fax fas”]

Fax: (512) 649-9752

[/fusion_li_item][fusion_li_item icon=”fa-mail-bulk fas”]

austin@westcoastwoundcenter.com

Visalia

[/fusion_text][fusion_checklist hide_on_mobile=”small-visibility,medium-visibility,large-visibility” circle=”no” iconcolor=”#1157a8″][fusion_li_item icon=”fa-location-arrow fas”]

428 S. Garden St., Visalia, CA 93277

[/fusion_li_item][fusion_li_item icon=”fa-phone-volume fas”]Phone: (559) 931-2524[/fusion_li_item][fusion_li_item icon=”fa-fax fas”]

Fax: (559) 931-2526

[/fusion_li_item][fusion_li_item icon=”fa-mail-bulk fas”]

visalia@westcoastwoundcenter.com

Temecula

[/fusion_text][fusion_checklist hide_on_mobile=”small-visibility,medium-visibility,large-visibility” circle=”no” iconcolor=”#1157a8″][fusion_li_item icon=”fa-location-arrow fas”]

27555 Ynez Rd., Suite 210 Temecula, CA 92591

[/fusion_li_item][fusion_li_item icon=”fa-phone-volume fas”]

Phone: (818) 660-6980

[/fusion_li_item][fusion_li_item icon=”fa-fax fas”]

Fax: 818-660-6985

[/fusion_li_item][fusion_li_item icon=”fa-mail-bulk fas”]

temecula@westcoastwoundcenter.com

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Fresno
Northridge
Inglewood
Visalia
Austin

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Wound Care at Home

[/fusion_text][fusion_checklist hide_on_mobile=”small-visibility,medium-visibility,large-visibility” circle=”no” iconcolor=”#1157a8″][fusion_li_item icon=”fa-phone-volume fas”]

Phone: (818) 856-9535

[/fusion_li_item][fusion_li_item icon=”fa-fax fas”]

Fax: (818) 979-0593

[/fusion_li_item][fusion_li_item icon=”fa-mail-bulk fas”]

info@westcoastwound.com

[/fusion_li_item][/fusion_checklist][/fusion_builder_column][fusion_builder_column type=”2_3″ type=”2_3″ layout=”2_3″ align_self=”auto” content_layout=”column” align_content=”flex-start” valign_content=”flex-start” content_wrap=”wrap” spacing=”” center_content=”no” link=”” target=”_self” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” sticky_display=”normal,sticky” class=”” id=”” order_medium=”0″ order_small=”0″ hover_type=”none” border_color=”” border_style=”solid” box_shadow=”no” box_shadow_blur=”0″ box_shadow_spread=”0″ box_shadow_color=”” box_shadow_style=”” background_type=”single” gradient_start_position=”0″ gradient_end_position=”100″ gradient_type=”linear” radial_direction=”center center” linear_angle=”180″ background_color=”” background_image=”” background_image_id=”” background_position=”left top” background_repeat=”no-repeat” background_blend_mode=”none” filter_type=”regular” filter_hue=”0″ filter_saturation=”100″ filter_brightness=”100″ filter_contrast=”100″ filter_invert=”0″ filter_sepia=”0″ filter_opacity=”100″ filter_blur=”0″ filter_hue_hover=”0″ filter_saturation_hover=”100″ filter_brightness_hover=”100″ filter_contrast_hover=”100″ filter_invert_hover=”0″ filter_sepia_hover=”0″ filter_opacity_hover=”100″ filter_blur_hover=”0″ animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”true” border_position=”all” first=”false”][fusion_text columns=”” column_min_width=”” column_spacing=”” rule_style=”default” rule_size=”” rule_color=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]

West Coast Wound and Skin Care offers comprehensive wound care services for patients in various settings, including their homes, assisted living facilities, and board and care communities.

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We accept Medicare, PPO, and HMO insurance plans.

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