Get the free North Valley Advanced Imaging Referral Slip - North State Radiology

NORTH VALLEY ADVANCED IMAGING 1638 The Esplanade Chico, CA 95926 5308946200 FAX 5308940174 J Please call patient to schedule exam Tax ID: 680358482 Last Name: First Name: D.O.B. Phone: Weight: Exam

How to fill out north valley advanced imaging

How to fill out North Valley Advanced Imaging:

1. Start by gathering all necessary documents and information. This may include your personal identification, insurance information, referral forms from your healthcare provider, and any relevant medical records.
2. Contact North Valley Advanced Imaging to schedule an appointment. It is recommended to call ahead and inquire about their specific requirements for filling out paperwork.
3. Arrive at the designated appointment time and check-in with the front desk. They will provide you with the necessary forms to fill out.
4. Read and understand each form carefully before beginning to fill them out. Pay close attention to any instructions or specific information requested.
5. Provide accurate and up-to-date personal information, such as your full name, address, contact information, and date of birth. This information will be crucial for identification and communication purposes.
6. Fill out the insurance information accurately, including your insurance provider's name, policy number, and group number if applicable. Attach a copy of your insurance card if requested.
7. If you have been referred by a healthcare provider, provide their contact information and any relevant details regarding the reason for the referral.
8. Carefully review each form after completion to ensure that all fields are filled accurately and completely. Double-check for any mistakes or missing information.
9. Sign and date the forms where required. Failure to do so may delay the processing of your appointment or insurance claim.
10. Once you have filled out all the necessary forms, return them to the front desk or designated personnel. They will guide you through any additional steps or provide further instructions if needed.

Who needs North Valley Advanced Imaging:

1. Individuals who have been referred by their healthcare provider for advanced imaging services such as MRI, CT scans, ultrasounds, or X-rays.
2. Patients who require diagnostic imaging to assist in the diagnosis or monitoring of a medical condition.
3. Those who want access to state-of-the-art imaging technology and specialized radiologists to ensure accurate and reliable results.
4. Individuals seeking a reputable and reliable imaging center known for its quality, efficiency, and patient care.
5. People with specific medical concerns or conditions that require advanced imaging technologies not available in other healthcare settings.
6. Patients who value convenience, as North Valley Advanced Imaging may offer flexible scheduling options and a streamlined administrative process.
7. Individuals seeking a professional and comfortable environment for their imaging needs, accompanied by a skilled and compassionate medical team.

Note: It is important to consult directly with North Valley Advanced Imaging or your healthcare provider for specific eligibility criteria and recommendations.

For pdfFiller’s FAQs

What is north valley advanced imaging?

North Valley Advanced Imaging is a medical facility that offers advanced imaging services such as MRI, CT scans, and X-rays.

Who is required to file north valley advanced imaging?

Patients who have received imaging services at North Valley Advanced Imaging are required to file the necessary paperwork.

How to fill out north valley advanced imaging?

To fill out North Valley Advanced Imaging forms, patients need to provide their personal information, insurance details, and medical history.

What is the purpose of north valley advanced imaging?

The purpose of North Valley Advanced Imaging is to provide accurate diagnostic imaging services to help healthcare professionals make informed decisions about patient care.

What information must be reported on north valley advanced imaging?

The information reported on North Valley Advanced Imaging forms includes patient demographics, referring physician details, and imaging procedure information.

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