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BREAST IMAGING DEPARTMENT ORDERS Patients Name: Fax: DOB: Physicians Patients Phone: Exam Appointment Date/Time: Diagnosis: (Please write out diagnosis; ICD9 code not acceptable): Clinical History:

How to fill out breast imaging department orders

How to fill out breast imaging department orders:

1. Start by carefully reading and understanding the instructions provided on the order form. This will ensure that you provide all the necessary information and follow the correct procedures.
2. Begin by filling out the patient's personal information accurately. This includes their full name, date of birth, contact information, and any relevant medical history or previous imaging studies.
3. Indicate the specific type of breast imaging requested, such as a mammogram, ultrasound, or MRI. Provide additional details if applicable, such as whether it is for screening or diagnostic purposes.
4. Clearly specify the reason for the imaging study. This could be due to a specific symptom, abnormal finding, family history of breast cancer, or routine screening.
5. Include any relevant clinical information that may assist the imaging department in evaluating the patient's condition. This may involve details about previous surgeries or procedures, current medications, or any allergies or contraindications.
6. If applicable, indicate any specific areas of concern that need to be evaluated during the imaging study. This can help the radiologist focus on particular areas of interest and improve the accuracy of the results.
7. Provide complete insurance information to ensure proper billing and coverage. Include the patient's insurance provider, policy number, group ID, and any required pre-authorization or referral numbers.
8. Double-check all the information provided on the form for accuracy and completeness. Ensure legibility, as illegible or incomplete forms may result in delays or errors in processing.

Who needs breast imaging department orders?

Breast imaging department orders are typically needed for individuals who require or wish to undergo specific breast imaging studies. This may include women who are due for routine mammograms as part of their breast cancer screening process. It may also include individuals who have noticed a breast lump, experienced breast pain or discomfort, or have other symptoms or risk factors that warrant further evaluation. Additionally, individuals who have a family history of breast cancer or have been identified as having a high risk for developing breast cancer may also require breast imaging department orders for regular surveillance or diagnostic purposes.

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What is breast imaging department orders?

Breast imaging department orders are requests for various imaging tests such as mammograms, ultrasounds, and MRIs to evaluate breast health.

Who is required to file breast imaging department orders?

Healthcare providers such as doctors and radiologists are typically responsible for filing breast imaging department orders.

How to fill out breast imaging department orders?

Breast imaging department orders can usually be filled out electronically or on paper, providing the necessary patient information and test requests.

What is the purpose of breast imaging department orders?

The purpose of breast imaging department orders is to ensure that appropriate imaging tests are performed to evaluate and monitor breast health.

What information must be reported on breast imaging department orders?

Breast imaging department orders typically include patient demographics, clinical history, specific test requests, and any relevant findings.