Get the free CT COLONOGRAPHY (CTC) REQUISITION ORDERINGPHYSICIAN Reset PATIENTNAME: Name: DOB: Si...

CT ICONOGRAPHY (CTC) REQUISITION ORDERING PHYSICIAN Reset PATIENT NAME: Name: DOB: Signature: HAN: HOME PHONE: Copy to: CELL PHONE: ADDRESS: Department of Diagnostic Imaging Date (dd/mm/by): Tel.

How to fill out ct colonography ctc requisition

How to fill out ct colonography ctc requisition:

1. Begin by filling out your personal information such as your full name, date of birth, and contact information. This is important for identification purposes.
2. Next, provide information about your referring physician or healthcare provider. Include their name, contact information, and any relevant identification numbers or codes.
3. Specify the reason for the ct colonography ctc requisition. This could be for screening purposes, evaluation of symptoms, or follow-up on a previous condition.
4. Indicate any relevant medical history or current medications that may impact the ct colonography procedure. This includes allergies, previous surgeries, or other conditions that could affect the results or your ability to undergo the test.
5. Include any specific instructions or requests for the ct colonography. This could be related to preparation guidelines, such as diet or medication restrictions, or any additional tests or imaging studies that may be required.
6. Sign and date the requisition form to authorize the request and ensure its validity.

Who needs ct colonography ctc requisition:

1. Individuals who are at an increased risk of colon cancer due to age, family history, or other factors may need a ct colonography requisition.
2. Patients who are experiencing symptoms such as abdominal pain, rectal bleeding, or changes in bowel habits may require a ct colonography to evaluate any potential abnormalities.
3. Individuals who have previously had polyps or a history of colorectal cancer may need a ct colonography to monitor for any signs of recurrence or new growths.
4. Some healthcare providers may recommend ct colonography as a screening tool for individuals who are unable or unwilling to undergo a traditional colonoscopy.
5. In certain cases, a ct colonography requisition may be required as part of pre-operative planning for colorectal surgeries or procedures.

Remember, it is always best to consult with your healthcare provider to determine if a ct colonography requisition is appropriate for your specific situation.

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What is ct colonography ctc requisition?

CT colonography (also known as virtual colonoscopy) requisition is a form that is used to request and schedule a CT scan of the colon.

Who is required to file ct colonography ctc requisition?

Medical professionals such as doctors, specialists, or radiologists are required to file the CT colonography requisition.

How to fill out ct colonography ctc requisition?

CT colonography requisition form must be completed with patient information, reason for the scan, and any other relevant medical history.

What is the purpose of ct colonography ctc requisition?

The purpose of CT colonography requisition is to screen for colon cancer, detect polyps or abnormalities in the colon.

What information must be reported on ct colonography ctc requisition?

Patient's demographic information, medical history, reason for the scan, and any relevant findings must be reported on the CT colonography requisition.