Get the free Bone Densitometry Screening Form - NYU Langone Medical Center - med nyu

NYU CLINICAL CANCER CENTER DIAGNOSTIC IMAGING 160 E. 34th Street New York, New York 10016 BONE DENSITOMETRY SCREENING Patient label PATIENT NAME: REFERRING PHYSICIAN: DATE OF BIRTH: / / AGE: PHONE

How to fill out bone densitometry screening form

How to fill out bone densitometry screening form:

1. Start by carefully reading the instructions on the form.
2. Provide your personal information, including your name, date of birth, and contact details.
3. Answer all the medical history questions honestly and thoroughly. This may include information about your previous fractures, family history of osteoporosis, and any medications or supplements you are currently taking.
4. Indicate any existing medical conditions that may affect your bone health, such as thyroid disorders or hormonal imbalances.
5. Declare any lifestyle factors that may impact bone density, such as smoking, excessive alcohol consumption, or a sedentary lifestyle.
6. Ensure you understand the consent section and sign it if you agree to undergo the bone densitometry screening.
7. Follow any additional instructions mentioned on the form, such as fasting requirements before the screening.

Who needs bone densitometry screening form:

1. Individuals who have a higher risk of osteoporosis or bone loss may need a bone densitometry screening form.
2. Postmenopausal women and men over the age of 50 are at a higher risk and may particularly require this screening.
3. Individuals with a history of fractures, prolonged steroid use, or certain medical conditions such as rheumatoid arthritis or hyperthyroidism may also need to fill out this form.
4. The screening form helps assess the need for bone densitometry testing, which measures bone mineral density and aids in diagnosing osteoporosis or determining fracture risk.

For pdfFiller’s FAQs

What is bone densitometry screening form?

Bone densitometry screening form is a document used to assess the density of bones in a person's body. It is commonly used to diagnose osteoporosis and other bone-related conditions.

Who is required to file bone densitometry screening form?

The individuals who are required to file a bone densitometry screening form are typically patients who have been recommended for a bone density test by their healthcare provider or those who are participating in a research study.

How to fill out bone densitometry screening form?

To fill out a bone densitometry screening form, you will generally be required to provide personal information such as your name, date of birth, contact details, and medical history. You may also need to answer questions about any symptoms you may be experiencing, medications you are taking, and previous bone density test results.

What is the purpose of bone densitometry screening form?

The purpose of a bone densitometry screening form is to gather relevant information about a patient's bone health in order to assess their risk of osteoporosis or other related conditions. This information can then be used to guide further diagnostic tests or determine appropriate treatment options.

What information must be reported on bone densitometry screening form?

The information that must be reported on a bone densitometry screening form can vary depending on the specific form used. However, typically it will include personal details such as name, age, and contact information, as well as medical history, current medications, and any relevant symptoms or complaints.

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