Form locator 17, Name of referring provider or other source, can include the name of a relative or friend who referred the patient to the physician's office.

Question

Quizplus · Accepted Answer

Form locator 17 is specifically used for the name of the referring provider or other source in a professional capacity, such as another physician or healthcare provider, not for relatives or friends who referred the patient.

Form Locator 17, Name of Referring Provider or Other Source