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Get the free Requisition for Medical Imaging, form 83D56. Please complete in ink and fax copy of ...

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REQUISITION FOR MEDICAL IMAGING U/S RESET CT MRI Please complete in INK and FAX copy of report to WorkSafeBC. CLAIMS CALL Center Phone 604 231-8888 Toll-free 1 888 967-5377 M? F, 8:00 a.m. to 4:30
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How to fill out requisition for medical imaging

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How to fill out requisition for medical imaging:

01
Obtain the requisition form from the medical imaging department or your healthcare provider.
02
Carefully read and understand all the instructions provided on the form.
03
Fill out your personal information such as your name, date of birth, and contact details.
04
Provide information about your healthcare provider or referring physician, including their name, address, and contact details.
05
Specify the type of medical imaging test you are requesting, such as an X-ray, MRI, or CT scan.
06
Indicate the reason for the medical imaging test and provide any relevant medical history or symptoms.
07
Include any special instructions or requirements for the test, if necessary.
08
Review the completed requisition form for accuracy and ensure all necessary information is provided.
09
Sign and date the requisition form.
10
Return the completed requisition form to the medical imaging department or your healthcare provider.

Who needs requisition for medical imaging:

01
Individuals who are referred by healthcare providers or physicians for further diagnostic evaluation.
02
Patients who require medical imaging tests to get a better understanding of their condition or injury.
03
Anyone who wants to undergo specific medical imaging examinations for screening purposes or preventive healthcare.
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A requisition for medical imaging is a form or document that is used to request or order medical imaging procedures, such as X-rays, CT scans, MRIs, or ultrasounds.
Medical professionals, such as doctors, surgeons, or radiologists, are typically required to file a requisition for medical imaging when they want to request these procedures for their patients.
To fill out a requisition for medical imaging, you typically need to provide information such as the patient's name, date of birth, medical history, reason for the imaging request, and the specific type of imaging procedure needed. It is important to ensure that all the required information is accurately filled out on the form.
The purpose of a requisition for medical imaging is to facilitate the ordering and scheduling of medical imaging procedures. It helps ensure that the correct procedure is performed on the right patient and that the results are accurately interpreted by the medical professionals.
The requisition for medical imaging typically requires information such as the patient's demographic details, relevant medical history, referring physician's details, the specific type of imaging procedure requested, and any additional notes or special instructions.
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