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Name: IMAGING REQUISITION ID Number: DOB: RAY/ CT SCAN/ ULTRASOUND/ BMD Pt. Phone Number: () HC # Imaging Department use only: Date: Location Time: Phone Fax Preparation Information No prep required
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ST - Telus Health is a standardized form used for reporting health information to the relevant authorities.
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The purpose of ST - Telus Health is to ensure accurate and timely reporting of health information for regulatory and monitoring purposes.
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