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REQUEST FOR DEXA SCAN MEDICAL NECESSITY Patients Name: Patients DOB: 1. Is the patient currently taking or have a history of taking medications to treat osteoporosis? No Yes If YES, List Medication(s):
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How to fill out request for dexa scan

How to fill out a request for a dexa scan:
01
Start by obtaining the necessary form or request from your healthcare provider or the facility where the dexa scan will be conducted.
02
Read through the instructions provided on the request form carefully to understand what information is required.
03
Begin by providing your personal information, including your full name, date of birth, and contact details. This will ensure that the results of the scan are correctly attributed to you.
04
Next, you may be required to provide information about your medical history, including any relevant conditions or medications you are currently taking. This will help the healthcare provider interpret the results accurately.
05
Indicate your reason for requesting the dexa scan. This could be for screening purposes, to assess bone density, or to monitor the effects of a specific treatment or condition.
06
Specify any additional tests or scans that need to be performed along with the dexa scan, if applicable.
07
If you have any known allergies or previous adverse reactions to medical procedures, make sure to include this information on the form.
08
Review the completed request form to ensure all the necessary information is included and that it is legible.
09
Submit the form to your healthcare provider or the designated facility as instructed. You may need to book an appointment or call ahead to arrange a suitable date and time for the dexa scan.
Who needs a request for a dexa scan?
01
Individuals who have been advised by their healthcare providers to assess their bone density or monitor osteoporosis risk may require a request for a dexa scan.
02
Individuals who have undergone certain procedures, such as organ transplantation or long-term steroid use, may also need a request for a dexa scan to evaluate their bone health.
03
Those who are participating in clinical research studies evaluating bone health or related conditions may require a request for a dexa scan as part of the study protocol.
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What is request for dexa scan?
A request for a dexa scan is a medical order from a healthcare provider to have a bone mineral density assessment.
Who is required to file request for dexa scan?
A healthcare provider such as a doctor or a specialist is required to file a request for a dexa scan on behalf of the patient.
How to fill out request for dexa scan?
The request for a dexa scan should include the patient's personal information, medical history, reason for the scan, and any relevant clinical details.
What is the purpose of request for dexa scan?
The purpose of a request for a dexa scan is to assess the patient's bone mineral density and diagnose or monitor conditions such as osteoporosis.
What information must be reported on request for dexa scan?
The request for a dexa scan must include the patient's name, date of birth, relevant medical history, reason for the scan, and any specific instructions.
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