These forms are intended for physicians to order medically necessary services for eligible patients. Prior authorization may still apply. Certain procedures will require admitting privileges or hospitalist coordination. GNP has communicated with affected providers directly. Order forms are PDF's, please print and fax to the number on the form, along with any supporting documentation necessary.

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Anticoagulation Management
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Biopsies (US or CT Guided) w/ or w/o Sedation
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Cardiac Testing
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Diabetes Management/ Education
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Fetal Monitoring / OB
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Infusion/Injections
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Low Dose CT (Lung Cancer Screening)
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Physical Therapy/Occupational Therapy/Speech Therapy/Other Specialized Therapy
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Pre-op MRSA testing