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Explore all the solutions you can create with Paperform: surveys, quizzes, tests, payment forms, scheduling forms, and a whole lot more.
See all solutions
Connect with over 2,000 popular apps and software to improve productivity and automate workflows
See all integrations
When a primary care physician identifies concerning thoracic findings—whether through routine chest X-rays, CT scans, or patient symptoms—timely and accurate communication with thoracic surgery specialists can be critical to patient outcomes. This Primary Care to Thoracic Surgery Referral Form template provides a structured, comprehensive way to capture all essential clinical information, imaging findings, and patient history in one secure digital form.
Traditional paper-based or fax referrals often lead to incomplete information, delayed specialist consultations, and fragmented patient care. With Paperform's healthcare referral template, primary care practices can:
This template is specifically designed for primary care physicians, family medicine practitioners, internal medicine doctors, and pulmonologists who need to refer patients to thoracic surgery for evaluation of:
The form captures critical clinical details including smoking pack-years (a key risk factor calculation), nodule size and characteristics, imaging findings, and preliminary recommendations—giving thoracic surgeons the context they need to prioritize and prepare for consultations.
Paperform integrates naturally into existing healthcare workflows. Use Stepper (stepper.io) to automate what happens after each referral is submitted:
You can also connect referrals to Google Sheets for tracking dashboards, Slack for care team notifications, or your CRM to maintain complete patient engagement records.
Unlike generic form builders, Paperform gives healthcare practices the flexibility to create referral forms that match your organization's branding while maintaining the clinical structure specialists expect. The clean, document-style layout ensures forms are easy to complete on any device, reducing abandonment rates and ensuring referring physicians can submit complete referrals even during busy clinic days.
Conditional logic means the form adapts based on responses—for example, showing additional fields for nodule characteristics only when imaging findings indicate nodule presence, or expanding smoking history sections based on patient status.
Healthcare organizations need platforms they can trust with sensitive patient information. Paperform is SOC 2 Type II compliant with robust security controls, data encryption, and access management features. When integrated with HIPAA-compliant downstream systems and used with appropriate business associate agreements and security configurations, Paperform can support secure healthcare workflows.
The platform offers SSO for streamlined, secure access, role-based permissions to control who can view and submit referrals, and detailed audit logs for compliance monitoring.
This Primary Care to Thoracic Surgery Referral Form is ideal for:
With Paperform's intuitive editor, you can customize this template to match your specific referral protocols, add your practice branding, integrate with your existing tools, and start accepting digital referrals immediately. No developer required—just edit, publish, and share the referral link or embed it directly into your EHR or provider portal.
Transform your specialist referral process from a paperwork bottleneck into a streamlined digital workflow that improves care coordination, reduces administrative burden, and helps ensure patients get timely access to the specialist care they need.
Try this template today and experience how Paperform makes healthcare coordination simpler, faster, and more reliable.