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Oregon Imaging Breast Center Order for Additional Imaging & Workup Date: Patient Name: D.O.B: Provider Name: Fax Number: Accession Number: Our radiologist has evaluated your patients breast images
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How to fill out Oregon Imaging Breast Center:

01
Visit the official website of Oregon Imaging Breast Center to access the necessary forms.
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Carefully read the instructions provided on the website to ensure you understand the requirements.
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Fill in your personal information accurately, including your name, date of birth, address, and contact details.
04
Provide your medical history, including any previous breast exams, surgeries, or medical conditions related to your breast health.
05
Answer all the questions regarding your current symptoms or concerns regarding your breast health. Be as detailed as possible to assist the healthcare professionals in evaluating your condition.
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If you have any medical insurance, provide the necessary information to ensure proper billing and coverage.
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Review the completed form thoroughly to ensure you have provided all the required information and that there are no errors or missing details.
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Once you are confident that the form is complete and accurate, submit it according to the instructions provided, either by mailing it to the designated address or submitting it online, if available.

Who needs Oregon Imaging Breast Center:

01
Individuals who have noticed any changes or abnormalities in their breast size, shape, texture, or appearance.
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Those experiencing breast pain, discomfort, or tenderness.
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Individuals with a family history of breast cancer or other breast-related diseases.
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People who have a history of previous breast surgeries or treatments.
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Women aged 40 and above who need routine mammograms for breast cancer screening.
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Individuals who have been referred by their healthcare providers for further evaluation or diagnostic tests related to their breast health.
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Those who want to access advanced imaging technology and expertise specifically focused on breast health diagnosis and treatment.
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Oregon Imaging Breast Center is a medical facility specializing in breast imaging services such as mammograms, ultrasounds, and biopsies.
Healthcare providers and facilities offering breast imaging services in Oregon are required to file with the state.
To fill out Oregon Imaging Breast Center forms, providers must include specific information about the types of breast imaging services offered, patient demographics, and frequency of screening.
The purpose of Oregon Imaging Breast Center is to ensure quality and standardized breast imaging services are provided to patients in the state.
Information such as the number of mammograms performed, types of imaging equipment used, patient outcomes, and any follow-up recommendations must be reported on the Oregon Imaging Breast Center forms.
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