Get the free Radiology Request Form - dchft nhs
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Note: As a Referrer under the Ionizing Radiation Medical Exposure Regulations 2000 (FIRMER) YOU are responsible for providing sufficient information to allow for identification of the patient and
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What is radiology request form?
A radiology request form is a document used to request radiology procedures or imaging tests such as X-rays, CT scans, or MRIs for diagnostic purposes.
Who is required to file radiology request form?
Radiologists, physicians, or healthcare providers are typically responsible for filing the radiology request form on behalf of the patient.
How to fill out radiology request form?
To fill out a radiology request form, the healthcare provider should include the patient's personal information, medical history, the type of imaging test being requested, the reason for the test, and any specific instructions or requirements.
What is the purpose of radiology request form?
The purpose of a radiology request form is to ensure that the appropriate imaging tests are conducted based on the patient's condition or symptoms, aiding in accurate diagnosis and treatment planning.
What information must be reported on radiology request form?
The radiology request form must include the patient's name, date of birth, contact information, referring physician details, relevant medical history, the type of procedure requested, clinical indications, and any necessary pre-authorization information.
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