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For Physician Offices

For Physician Offices: Commonly Used QMC Forms

Below are commonly used forms for referral services at Quincy Medical Center. You are free to print out as needed.

QMC Pre-Admission Outpatient Services Referral Form: Includes Lab and Radiology
Outpatient Cardiology Services Patient Instructions
Outpatient Cardiology Booking Sheet
QMC Chest Clinic Referral Form
QMC EMG Referral Form
QMC Sleep Clinic Referral Form

For Physician Offices: Remote Access click here (https://remote.quincymc.org)

 

For Physician Offices: To Request Remote Access

To request remote MEDITECH or PACS Imaging access, please print out this attached form, sign, and send back to the QMC IT help desk.

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