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STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY APPLICATION FOR RADIATION THERAPY SERVICE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH Reply to: HOSPITAL NAME 1. Name, experience, and eligibility or
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The application for radiation therapy is a form used to request and schedule radiation treatment for cancer patients.
The application for radiation therapy is typically filed by the patient's oncologist or radiation oncologist.
The application for radiation therapy is usually filled out by the healthcare provider, who will provide information about the patient's medical history, diagnosis, and treatment plan.
The purpose of the application is to ensure that the patient receives the appropriate radiation treatment according to their specific medical condition.
The application must include the patient's medical history, diagnosis, current treatment plan, and any relevant medical images or test results.
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