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Diagnostic Imaging MRI Requisition Contact Central Booking I Ajax Site Telephone (416× 2817299 Toll Free 18667526989 Facsimile (416× 2817493 Toll Free 18667526990 580 Hardwood Ave. South Ajax ON
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How to fill out diagnostic imaging mri requisition

How to fill out a diagnostic imaging MRI requisition:
01
Patient Information
1.1
Start by entering the patient's full name, date of birth, and contact information. This information is crucial to correctly identify the patient and communicate any necessary updates or results.
02
Referring Physician Information
2.1
Provide the name, contact information, and specialty of the referring physician. This helps the imaging center or facility communicate any relevant information back to the physician.
03
Clinical History
3.1
Include a brief summary of the patient's medical history and clinical indications for the MRI. This helps radiologists and technicians understand the specific reason for the MRI and tailor the imaging protocol accordingly.
04
Requested Examination
4.1
Specify the type of MRI examination being requested. This could include the region to be imaged (e.g., brain, abdomen, spine) or a specific protocol (e.g., contrast-enhanced MRI, functional MRI).
05
Clinical Indication
5.1
State the reason or suspected diagnosis that necessitates the imaging procedure. This information guides the radiologist in interpreting the images and providing an accurate diagnosis.
06
Relevant Findings
6.1
If the patient has undergone previous imaging examinations that may be relevant to the current MRI, provide any relevant findings or reports. This helps clinicians compare the new results with previous images for a more comprehensive evaluation.
07
Special Requests or Instructions
7.1
Any special requests or instructions for the radiology department should be clearly mentioned in this section. For example, if the patient requires sedation, specific imaging protocols, or has contraindications to contrast agents, these details should be noted.
Who needs a diagnostic imaging MRI requisition?
01
Referring physicians or healthcare providers who suspect or want to investigate a specific condition or pathology that can be better visualized and diagnosed using an MRI examination.
02
Patients who have been recommended by their healthcare providers to undergo an MRI scan based on their signs, symptoms, or medical history.
03
Insurances or healthcare systems that require proper documentation and justification before approving or covering the cost of an MRI procedure.
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What is diagnostic imaging mri requisition?
Diagnostic imaging MRI requisition is a form or request for a magnetic resonance imaging (MRI) scan that is filled out by a healthcare provider to request the imaging study.
Who is required to file diagnostic imaging mri requisition?
Healthcare providers such as physicians, nurse practitioners, or other authorized professionals are required to file diagnostic imaging MRI requisition.
How to fill out diagnostic imaging mri requisition?
To fill out a diagnostic imaging MRI requisition, the healthcare provider needs to provide patient demographics, clinical indication for the MRI study, relevant medical history, and any other pertinent information.
What is the purpose of diagnostic imaging mri requisition?
The purpose of diagnostic imaging MRI requisition is to request a specialized radiological study using magnetic resonance imaging technology to aid in the diagnosis and management of medical conditions.
What information must be reported on diagnostic imaging mri requisition?
Information that must be reported on a diagnostic imaging MRI requisition includes patient demographics, clinical indication for the study, relevant medical history, and any specific instructions for the radiology department.
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