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Reset DIAGNOSTIC IMAGING: BREAST IMAGING Ordering Physician Name OUTPATIENT SERVICES (Please Print) Ordering Physician Signature Copy to: Pregnant: Yes Name: DOB: HAN: Phone #: Address: No LMP: Routine

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What is diagnostic imaging breast imaging?

Diagnostic imaging breast imaging is a medical procedure that uses various imaging techniques to examine the breasts for any abnormalities or signs of disease.

Who is required to file diagnostic imaging breast imaging?

Healthcare providers, such as radiologists and physicians, are required to perform and report diagnostic imaging breast imaging for patients who are referred for breast cancer screening or have symptoms of breast disease.

How to fill out diagnostic imaging breast imaging?

To fill out diagnostic imaging breast imaging, healthcare providers must use the appropriate imaging techniques, document their findings accurately, and submit the report to the patient's medical record.

What is the purpose of diagnostic imaging breast imaging?

The purpose of diagnostic imaging breast imaging is to detect and diagnose breast cancer, monitor breast health, and evaluate any abnormalities found during a physical exam or screening.

What information must be reported on diagnostic imaging breast imaging?

Diagnostic imaging breast imaging reports must include patient information, imaging findings, recommendations for further evaluation or treatment, and any follow-up needed.

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