Get the free CT Order - Borgess Health

CT Order Scheduling Options: Fax completed form to (269) 342.8513 Call (269) 383.5593 to schedule patient Give patient completed form and ask them to call (269) 383.5593 to schedule Name (Last) Birth

How to fill out ct order - borgess

How to fill out ct order - borgess:

1. Start by entering the patient's personal information, including their full name, date of birth, and contact details.
2. Specify the reason for the CT scan by selecting the appropriate indication from the provided options. These indications may include chest pain, trauma, suspected tumor, or other relevant conditions.
3. Indicate any relevant medical history or previous imaging studies that may assist the radiologist in interpreting the CT scan results.
4. Select the type of CT scan required, such as chest CT, abdominal CT, or head CT. Provide any additional specific instructions or requests for the radiologist if necessary.
5. If contrast material is required for the CT scan, specify the type of contrast (oral, intravenous, or both) and any specific instructions related to contrast administration. For example, if the patient has a known allergy to contrast, it should be clearly stated.
6. Choose the urgency level for the CT scan, such as routine, urgent, or stat. This will help prioritize the patient's appointment.
7. Finally, provide your contact information as the referring physician, including your name, phone number, and any other relevant details.

Who needs ct order - borgess:

1. Patients who have been evaluated by their healthcare provider and require further diagnostic imaging to investigate a specific medical condition.
2. Individuals who have experienced symptoms or have medical histories that suggest the necessity for a CT scan, as determined by their healthcare provider.
3. Patients who have undergone previous imaging studies that have shown abnormalities and require additional imaging to further assess and diagnose the condition.

It is important to note that the decision to order a CT scan should be made by a healthcare provider based on their clinical judgment and the specific medical needs of the patient.

For pdfFiller’s FAQs

What is ct order - borgess?

The ct order - borgess is a court order issued by the Borgess court.

Who is required to file ct order - borgess?

All parties involved in the case are required to file the ct order - borgess.

How to fill out ct order - borgess?

The ct order - borgess can be filled out by providing all relevant information requested on the form.

What is the purpose of ct order - borgess?

The purpose of the ct order - borgess is to ensure that all parties comply with the court's decision.

What information must be reported on ct order - borgess?

The ct order - borgess must include details about the court decision, parties involved, and any requirements or deadlines.

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