Get the free BC Victoria MRI Requisition - CML HealthCare

MRI VICTORIA 3011990 Fort St. Victoria, British Columbia, V8R 6R5 Tel: (250) 5980193 Fax: (250) 5983594 Email: vicar cmlhealthcare.com MRI REQUEST FOR EXAMINATION Patient Information Last Name First

How to fill out bc victoria mri requisition

How to fill out BC Victoria MRI Requisition:

1. Start by gathering all the necessary information. You will need the patient's full name, date of birth, address, contact information, and healthcare number.
2. Next, ensure you have the referral details. This includes the referring physician or healthcare provider's name, clinic or hospital name, contact information, and their provider number if applicable.
3. Fill out the patient information section on the requisition form. Provide the patient's full name, date of birth, address, and contact information accurately. Double-check for any spelling errors.
4. Enter the patient's healthcare number in the designated field. This number is essential for insurance and billing purposes.
5. In the referral details section, fill in the referring physician or healthcare provider's name, clinic or hospital name, and contact information.
6. If the referring physician or healthcare provider has a specific request or reason for the MRI, indicate it clearly in the provided area. This could include any symptoms, suspected conditions, or additional information relevant for the radiologist.
7. If the MRI study has been pre-authorized by the insurance or healthcare provider, make sure to include the authorization number in the designated field.
8. Review the completed requisition form for accuracy and completeness. Check that all the required fields have been filled out correctly.

Who Needs BC Victoria MRI Requisition:

1. Patients who require an MRI examination in Victoria, British Columbia.
2. Individuals who have been referred by a physician or healthcare provider for an MRI scan.
3. People who need diagnostic imaging to assess or diagnose certain medical conditions or injuries.
4. Patients who have obtained pre-authorization for the MRI study from their insurance or healthcare provider.
5. Those who have received a recommendation from their doctor or healthcare professional to undergo an MRI for further evaluation or monitoring of a specific condition.
6. Individuals who are seeking specialized medical care in a hospital or clinic that requires an MRI requisition for scheduling the examination.

Remember, it is essential to consult with a healthcare professional or follow the instructions and guidance provided by your referring physician to determine if an MRI requisition is necessary for your specific situation.

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