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RICHARD M. SELVES, M.D.95 UNIVERSITY PLACE, 8TH FL., N.Y. N.Y. 10003 26 COURT STREET, ST.314, BROOKLYN, N.Y. 11242 6967 108TH Street, 2nd Floor, Forest Hills, N.Y. 11375 2126041367 FAX:2124003949MRI/CT
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How to fill out radiology formdoc:

01
Start by gathering all necessary information: Before beginning to fill out the radiology formdoc, gather all the required information such as personal details, medical history, referring physician information, insurance details, and any specific details related to the radiology procedure.
02
Read the instructions: Carefully read through the instructions provided on the radiology formdoc. Pay attention to any specific guidelines or requirements mentioned. This will ensure that you provide accurate and complete information.
03
Fill in personal details: Begin by entering your personal details such as your full name, date of birth, gender, and contact information. Double-check the accuracy of the information entered to avoid any errors.
04
Provide medical history: Depending on the radiology formdoc, you may be required to provide your medical history. This can include any previous surgeries, allergies, current medications, and any relevant medical conditions. Be thorough but concise in documenting your medical history.
05
Referring physician information: If applicable, provide the name, contact information, and any other relevant details about the referring physician who ordered the radiology procedure. This information is important for communication and coordination between healthcare providers.
06
Insurance details: If the radiology formdoc requires information about your insurance coverage, provide accurate details about your insurance provider, policy number, and any other necessary information. This is crucial for billing purposes.
07
Specific details related to the radiology procedure: The radiology formdoc may ask for specific details related to the procedure you are scheduled for. This can include the type of procedure, requested imaging tests, and any specific areas or symptoms of concern. Fill in this information accurately to ensure that the radiology technician has all the necessary information prior to the procedure.

Who needs radiology formdoc:

01
Patients undergoing radiology procedures: Any patient scheduled for a radiology procedure, such as an X-ray, MRI, CT scan, or ultrasound, may need to fill out a radiology formdoc. This document helps healthcare providers gather essential information about the patient and their medical history, ensuring safe and effective imaging procedures.
02
Referring physicians: Physicians who order radiology procedures for their patients may also need access to the radiology formdoc. This allows them to review the patient's medical history, provide necessary details about the requested imaging tests, and communicate relevant information to the radiology department.
03
Radiology technicians and staff: The radiology formdoc is crucial for technicians and staff members who perform the imaging procedures. It provides them with essential information about the patient, their medical history, and any specific details related to the procedure, enabling them to prepare adequately and ensure the best possible imaging outcomes.
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Radiology formdoc is a document used to report radiology procedures and services provided to patients.
Radiology professionals, including radiologists and radiologic technologists, are required to file radiology formdoc.
Radiology formdoc can be filled out by documenting the details of each radiology procedure or service provided, including patient information, procedure codes, and any relevant notes.
The purpose of radiology formdoc is to accurately report and document radiology procedures and services for billing and medical record-keeping purposes.
Information such as patient demographics, procedure codes, date of service, referring physician, and any relevant clinical information must be reported on radiology formdoc.
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