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BREAST MRI SCHEDULING FORM PHYSICIANS INFORMATION To be completed by doctors OFCE and signed by ordering physician, or attach Dr.s signed prescription. STUDY TYPE (Please check one): Breast MR Today's

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What is breast imaging form 3?

Breast imaging form 3 is a document used to report the results of imaging tests such as mammograms, ultrasounds, and MRIs of the breast.

Who is required to file breast imaging form 3?

Healthcare providers and facilities that perform breast imaging tests are required to file breast imaging form 3.

How to fill out breast imaging form 3?

Breast imaging form 3 should be filled out with the patient's personal information, details of the imaging tests performed, and the results of the tests.

What is the purpose of breast imaging form 3?

The purpose of breast imaging form 3 is to document the results of breast imaging tests and ensure that patients receive appropriate follow-up care.

What information must be reported on breast imaging form 3?

Information such as the date of the imaging test, the type of test performed, the findings of the test, and recommendations for follow-up care must be reported on breast imaging form 3.

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