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Garden Grove Advanced Imaging 9191 Westminster Ave Suite 105 Garden Grove, CA 92844 Telephone: (714× 5386314 Fax: (714× 5835214 PATIENT INFORMATION FORM Adelaide: Primer Hombre: Segundo Hombre:

How to fill out garden grove advanced imaging

How to fill out Garden Grove Advanced Imaging:

1. Start by obtaining the necessary forms from the Garden Grove Advanced Imaging center. These forms may be available on their website or at their physical location.
2. Carefully read through the instructions provided on the forms. Make sure you understand each section and what information is being requested.
3. Begin by filling out your personal information, including your full name, address, phone number, and date of birth. This information is essential for identification purposes.
4. Next, provide your insurance information, including the name of your insurance provider, your policy number, and any other required details. This will ensure that your imaging services are appropriately billed.
5. In the section related to the type of imaging requested, indicate the specific procedure or test you require. Provide any additional details or instructions that may be necessary.
6. If you have any relevant medical history or conditions that the imaging center should be aware of, include this information in the appropriate section. It is crucial to be thorough and accurate when providing this information.
7. Check for any additional documentation or paperwork that may be required, such as a referral from a healthcare provider or pre-authorization from your insurance company. Make sure to include these documents with your completed forms.
8. After filling out all the necessary sections, review your form for any errors or missing information. It is essential to ensure that all details are accurate before submitting the forms.
9. Finally, sign and date the completed forms. This signature indicates that all the information provided is true and accurate to the best of your knowledge.
10. Submit the filled-out forms to the Garden Grove Advanced Imaging center by mail or in person, following their specific submission guidelines.

Who needs Garden Grove Advanced Imaging?

1. Individuals who have been referred by their healthcare provider for specialized diagnostic imaging.
2. Patients who require advanced imaging procedures like CT scans, MRIs, ultrasounds, or X-rays to aid in their diagnosis or treatment.
3. People who want to have a comprehensive understanding of their health condition and need accurate imaging results for proper medical management.

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