Get the free Specialty Imaging Order Form - Children's Hospital of The King's ... - chkd
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Children's Hospital of The King's Daughters, Inc. 601 Children's Lane, Norfolk, VA 23507-1910 Schedule: 757.668.7251 Fax: 757.668.9185 Department: 757.668.7250 Practice Information Patient Label or
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What is specialty imaging order form?
The specialty imaging order form is a document used to request specific imaging tests or procedures that are not typically part of routine medical imaging, such as MRI, CT scan, or ultrasound.
Who is required to file specialty imaging order form?
Specialty imaging order forms are typically filled out by healthcare providers, such as doctors or specialists, who require additional imaging tests or procedures to diagnose or monitor a patient's condition.
How to fill out specialty imaging order form?
To fill out a specialty imaging order form, healthcare providers need to provide the necessary patient and physician information, specify the type of imaging test or procedure needed, indicate the medical reason for ordering it, and include any additional relevant details.
What is the purpose of specialty imaging order form?
The purpose of the specialty imaging order form is to facilitate the request and authorization process for non-routine imaging tests or procedures, ensuring that correct and necessary medical imaging is conducted.
What information must be reported on specialty imaging order form?
A specialty imaging order form typically requires the following information: patient's name, date of birth, referring physician's information, type of imaging test or procedure requested, medical reason for ordering it, relevant clinical history or findings, and any special instructions or considerations.
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