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New Mexico Medical Imaging and Radiation Therapy Program New Mexico Environment Department Radiation Control Bureau PO Box 5469 Santa Fe, NM 875025469 LEGAL NAME CHANGE APPLICATION FORM Phone Number
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How to fill out New Mexico medical imaging:

01
Obtain the necessary forms: Begin by obtaining the required forms for New Mexico medical imaging. These forms can typically be found on the website of the New Mexico Medical Imaging Board or requested from the board directly.
02
Provide personal information: Start by providing your personal information on the form. This may include your full name, address, contact details, and any other relevant information requested.
03
Specify the type of medical imaging: Indicate the specific type of medical imaging you are seeking. This could include X-ray, MRI, CT scan, ultrasound, or any other type of imaging procedure.
04
Include the name of the healthcare provider or facility: Provide the name of the healthcare provider or facility where you intend to have the medical imaging performed. This may involve contacting the facility in advance to ensure they accept the specific form and have availability for your procedure.
05
Explain the reason for the medical imaging: Clearly describe the reason for requiring the medical imaging procedure. This could be for diagnostic purposes, monitoring an existing condition, or as part of a treatment plan.
06
Attach any supporting documentation: If there are any supporting documents that are related to your medical condition or history, such as previous imaging reports or referral letters, be sure to attach them to the form to provide a comprehensive overview.

Who needs New Mexico medical imaging?

01
Patients with suspected or diagnosed medical conditions: Individuals who have suspected or diagnosed medical conditions may require New Mexico medical imaging. This can help healthcare professionals obtain a detailed view of the affected area and aid in diagnosis or treatment planning.
02
Individuals seeking regular health check-ups: Regular health check-ups often include medical imaging as a preventive measure. These imaging procedures can help identify potential health issues even before symptoms become apparent, allowing for early intervention and treatment.
03
Patients undergoing monitoring or follow-up: Individuals who are already receiving medical treatment or have undergone previous medical imaging may require follow-up imaging studies. These help track the progress of an existing condition or evaluate the effectiveness of a treatment plan.
It is important to consult with medical professionals who can assess your specific situation and determine whether medical imaging is necessary for your case.
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New Mexico Medical Imaging is a program that regulates the use of medical imaging equipment in the state.
Healthcare facilities and providers that use medical imaging equipment in New Mexico are required to file.
To fill out the New Mexico Medical Imaging report, facilities and providers must submit relevant information about their medical imaging equipment and usage.
The purpose of New Mexico Medical Imaging is to ensure the safe and appropriate use of medical imaging equipment to protect patient health.
Facilities and providers must report details about their medical imaging equipment, usage, and any incidents or issues that have occurred.
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