FREE 20+ Referral Request Form Samples in PDF | MS Word

An individual who wants to build connections in their field of expertise must establish productive and beneficial relationships with other individuals or businesses which is called networking. These relationships will enable business growth as well as provide opportunities for new employment. You can ask someone from these networks for an introduction to a potential employer with the use of a referral request.

An individual who wants to build connections in their field of expertise must establish productive and beneficial relationships with other individuals or businesses which is called networking. These relationships will enable business growth as well as provide opportunities for new employment. You can ask someone from these networks for an introduction to a potential employer with the use of a referral request.

20+ Referral Request Form Samples

1. Referral Request Form Template

2. Sample Referral Request Form Template

3. Patient Referral Request Form Template

4. Basic Referral Request Form Template

5. Hospital Referral Request Form Template

6. Sample Referral Review Request Form Template

7. Referral Authorization Request Form Template

8. Sample Provider Referral Request Form Template

9. Printable Referral Request Form Template

10. Long Term Care Referral Request Form Template

11. In-Plan Referral Request Form Template

12. Sample Radiology Referral Request Form Template

13. Formal Referral Request Form Template

14. Child Care Referral Request Form Template

15. Medical Respite Referral Request Form Template

16. Blank Referral Request Form Template

17. Occupational Health Referral Request Form Template

18. Referral and Prior Authorization Request Form Template

19. Referral Request Form in PDF

20. Services Referral Request Form Template

21. Referral Request Form in DOC

What is a Referral Request Form?

Referrals are not only written and provided for business purposes but are also widely used in the healthcare industry. In this industry, referrals are produced when a patient gets a recommendation to a certain institution, department, or person to acquire the healthcare they need. Medical referrals are usually provided by a medical or paramedical professional to recommend the patient to see another professional healthcare provider. A referral request form is a document used by healthcare professionals to gather information about their current patients.

How to Create a Referral Letter

A referral is considered a written order from a particular primary care physician that recommends a patient visit or consults a professional for a certain medical service. This document is often required by most health insurance institutions to make sure that a patient is consulting with the correct healthcare provider for their unique health issues. Referral letters also called letters of recommendation are also created to enable hiring managers to learn more about a particular applicant during their job application process and are submitted along with the applicant’s completed application form, job application cover letter, and professional resume.

Step 1: Write the Sender and Recipient’s Addresses

Start writing your referral letter by including your and the recipient’s addresses, contact list or information, and the date you have written the letter. Ask the applicant to double-check their information. Then, write your introduction by including a piece of brief background information about yourself or your area of expertise.

Step 2: Provide an Overview of the Strengths of the Applicant

In this section, highlight the strengths and positive traits of the applicant that you have noticed during your working experience with them. You can also share stories about these strengths and traits.

Step 3: Write a Closing Statement or Paragraph

In the letter’s closing statement or paragraph, write a summary of the reasons why the applicant would be a good fit for the job opportunity. Inform your letter’s recipient that they can directly reach out to you in case they have any further questions.

Step 4: Leave Your Signature

End the letter by signing your name and providing your job title. If you will be sending the letter through the mail, make sure to provide your handwritten signature under your typed name.

FAQs

Referral request forms are documents that medical practitioners use to collect essential information about their patients, from their personal information to their current health condition. Referral letters are usually provided by doctors, dentists, and other health professionals when their patients require healthcare expertise they do not have, need treatment they are unable to provide, and need specialized tests or health investigations.