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Coronary CT Angiography To book an appointment call 403.777.4MRI (4674× 120 Mayfair Place 6707 Elbow Dr SW Calgary, AB T2V 0E3 Phone: 403.777.4MRI (4674) Bookings: 403.301.4525 Fax: 403.777.3198
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How to fill out a Coronary CT Angiography form:

01
Prepare all necessary information: Before filling out the Coronary CT Angiography form, gather all relevant medical records, identification documents, and insurance information. This will ensure that you have all the required details on hand.
02
Review the form instructions: Carefully read through the instructions provided on the form. Understand the purpose of the form and the specific information it requires. This will help you accurately complete it.
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Patient information: Start by providing the patient's personal details, such as their full name, date of birth, gender, and contact information. Ensure that this information is accurately entered, as any errors may lead to confusion or delays in processing.
04
Medical history: Fill in the patient's medical history, including any pre-existing conditions, past surgeries, medication allergies, and current medications. This information will assist the healthcare provider in assessing the patient's overall health and making informed decisions.
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Indication for the procedure: Clearly state the reason for the Coronary CT Angiography request. This could include symptoms the patient is experiencing, suspicions of cardiovascular disease, or a need for further evaluation.
06
Referring physician information: Include details about the referring physician, such as their name, contact information, and medical license number. This allows for communication between the healthcare provider and the referring physician if further clarification is needed.
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Insurance and billing information: If applicable, provide your insurance information, policy number, and any authorization required by your insurance provider. This will help ensure a smooth billing process and reduce any potential financial burden.

Who needs Coronary CT Angiography:

01
Patients with suspected coronary artery disease: Coronary CT Angiography is often recommended for individuals with symptoms such as chest pain, shortness of breath, or an abnormal stress test. It helps in diagnosing and assessing the severity of coronary artery disease.
02
Individuals with a family history of heart disease: If you have a family history of heart disease or other cardiovascular conditions, your doctor may recommend a Coronary CT Angiography as a preventive measure to assess your cardiac health.
03
Patients with a history of heart attacks or heart procedures: Coronary CT Angiography can be used to evaluate the condition of coronary stents, bypass grafts, or other interventions previously performed on the heart.
04
High-risk individuals with multiple risk factors: Individuals with risk factors such as smoking, diabetes, high blood pressure, high cholesterol, obesity, or a sedentary lifestyle may be recommended for a Coronary CT Angiography to evaluate their cardiovascular health.
Remember, always consult with a healthcare professional to determine if a Coronary CT Angiography is appropriate for your specific medical condition.
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