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Women s He is alt h Pa rt n e rs, LLC Diplomats of the American Board of Obstetrics & Gynecology www.myobgynoffice.com Mammogram Prescription NAME: DATE: Bilateral Screening Mammogram (Z12.31 or V76.12)
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What is mammogram prescription - boca?
Mammogram prescription - boca is a form that is typically completed by a healthcare provider to order a mammogram for a patient.
Who is required to file mammogram prescription - boca?
Healthcare providers such as physicians and nurse practitioners are required to file mammogram prescription - boca.
How to fill out mammogram prescription - boca?
Mammogram prescription - boca is typically filled out by providing patient information, healthcare provider information, and specific details about the mammogram order.
What is the purpose of mammogram prescription - boca?
The purpose of mammogram prescription - boca is to formally request a mammogram for a patient and provide necessary information for the imaging facility to perform the procedure.
What information must be reported on mammogram prescription - boca?
Information such as patient name, date of birth, healthcare provider name, contact information, reason for the mammogram, and any additional instructions may need to be reported on mammogram prescription - boca.
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