Primary Care to Precision Medicine Oncology Referral Form

Precision Medicine Oncology Referral Form for Healthcare Providers

When time matters most in cancer care, seamless communication between primary care and oncology specialists can make all the difference. This Primary Care to Precision Medicine Oncology Referral Form is designed specifically for healthcare providers referring patients for advanced cancer evaluation, tumor genetic profiling, and personalized treatment planning.

Built for Modern Cancer Care Workflows

This referral template captures everything oncology specialists need to evaluate candidates for targeted therapy, immunotherapy, and precision medicine approaches—without the back-and-forth of incomplete referrals. From patient demographics and cancer diagnosis details to prior treatment history and genomic testing results, this form ensures your referrals arrive complete and actionable.

Key information captured includes:

• Complete patient demographics and insurance details
• Primary diagnosis with staging and histology
• Current and prior treatment history
• Tumor genetic profiling and biomarker status
• Performance status and comorbidities
• Clinical questions and urgency indicators

Why Healthcare Teams Trust Paperform

Paperform is trusted by over 500,000 teams worldwide and is SOC 2 Type II and GDPR compliant, making it ideal for healthcare practices that need professional forms without the complexity of traditional healthcare IT systems. While Paperform is not HIPAA compliant, this template provides a structured approach for referral coordination in healthcare settings.

Seamless integration with your existing tools means referrals can automatically flow into your practice management system, CRM, or send notifications to care coordinators via Slack or email. With conditional logic built in, the form adapts based on cancer type and prior treatments, ensuring you only collect relevant information.

Extend Your Workflow with Stepper

After receiving a referral, use Stepper to automate what happens next: route urgent cases immediately, assign to specific oncologists based on subspecialty, update patient records, and trigger appointment scheduling—all without manual data entry. This keeps your care team focused on patients, not paperwork.

Whether you're a primary care practice looking to improve referral quality, an oncology center streamlining intake processes, or a precision medicine program coordinating complex cases, this template provides the clinical structure and workflow flexibility modern cancer care demands.