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Mailing address, 2315 Stockton Blvd. Sacramento, CA 95817. UC Davis Medical Center 24-hour operator, 916-734-2011. 24-hour TDD line for hearing or ...
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What is ophthalmology ultrasound request form?
The ophthalmology ultrasound request form is a document used to request an ultrasound examination specifically for ophthalmology purposes. It is typically filled out by medical professionals who need to evaluate the eyes and surrounding structures using ultrasound technology.
Who is required to file ophthalmology ultrasound request form?
Ophthalmologists, optometrists, or other healthcare professionals who need to request an ophthalmology ultrasound examination are required to fill out and file the ophthalmology ultrasound request form.
How to fill out ophthalmology ultrasound request form?
To fill out the ophthalmology ultrasound request form, you will need to provide details such as the patient's personal information, reason for requesting the ultrasound, specific areas to be examined, any relevant medical history, and the referring healthcare professional's information. The form may also require you to specify the type of ultrasound procedure needed and any additional instructions or special considerations.
What is the purpose of ophthalmology ultrasound request form?
The purpose of the ophthalmology ultrasound request form is to facilitate the appropriate and necessary ultrasound examination of the eyes and surrounding structures. It helps in diagnosing and monitoring eye conditions, evaluating visual disturbances, and guiding treatment decisions in ophthalmology.
What information must be reported on ophthalmology ultrasound request form?
The ophthalmology ultrasound request form typically requires the reporting of the patient's personal information (such as name, age, and contact details), the reason for the ultrasound request, specific areas or structures of the eye to be examined, any relevant medical history or pre-existing eye conditions, and the referring healthcare professional's information. It may also include sections for additional instructions or special considerations.
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