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UNIVERSITY OF VIRGINIA HEALTH SYSTEM DEPARTMENT OF RADIOLOGY/UVA IMAGING CT IMAGING REQUEST FORM PLACE LABEL HERE Ordering Date SS# Please Fax to (434) 243-0307-UVA Imaging Fontaine or 243-6999-Hosp
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How to fill out new ct request

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How to fill out a new CT request:

01
Start by gathering all the necessary information for the CT request, such as the patient's full name, date of birth, and any relevant medical history.
02
Make sure to include the reason for the CT scan request and provide any specific details or symptoms that may be helpful for the radiologist.
03
Double-check that all the required sections of the CT request form are completed accurately, including the referring physician's information and contact details.
04
If any additional tests or exams have been performed prior to the CT request, make sure to document them in the appropriate section of the form.
05
Provide any necessary clinical notes or other relevant information that may assist the radiologist in interpreting the CT results.

Who needs a new CT request:

01
Patients who require further diagnostic imaging to investigate a specific medical condition or symptom. This can include individuals with suspected internal injuries, tumors, infections, or other abnormalities.
02
Physicians who are responsible for managing the patient's healthcare and need additional information from a CT scan to aid in diagnosis or treatment planning.
03
Specialists who may refer patients for a CT scan to determine the extent of a disease or to guide interventional procedures.
In summary, filling out a new CT request involves gathering accurate patient information, providing detailed clinical notes, and ensuring all necessary sections are completed. It is typically needed by physicians and specialists who require additional diagnostic imaging for their patients.
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A new ct request is a formal application submitted to request a change or update in a certain document or process.
The individual or entity responsible for the document or process that needs to be changed is required to file a new ct request.
To fill out a new ct request, one must provide all necessary information, details of the requested change, and any supporting documents.
The purpose of a new ct request is to formally request a change or update to a specific document or process.
The information required on a new ct request may include the reason for the change, details of the requested change, and any supporting documentation.
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