Get the free Cardinal Sports Imaging Order Form - hiltonraiders

PLEASE PRINT ALL INFORMATION BELOW INCLUDING JERSEY NUMBER FIRST NAME (AS IT WILL APPEAR ON PHOTO) JERSEY # HUGE SAVINGS ON THE FOLLOWING PACKAGES LAST NAME (AS IT WILL APPEAR ON PHOTO) ALL STAR PACKAGE

How to fill out cardinal sports imaging order

How to fill out cardinal sports imaging order:

1. Start by entering the patient's personal information, including their full name, date of birth, and contact details.
2. Next, provide the patient's insurance information, such as the name of their insurance company, policy number, and group number. This is important for billing purposes.
3. Indicate the reason for the imaging order, whether it is for a specific injury, a routine check-up, or as recommended by a healthcare professional.
4. Specify the type of imaging needed, whether it is an X-ray, MRI, CT scan, or ultrasound. If applicable, provide additional details such as the body part to be imaged or any specific instructions given by the physician.
5. Include any relevant medical history, such as previous injuries or surgeries, current medications being taken, or any known allergies. This information helps the imaging center personnel ensure the safety and accuracy of the procedure.
6. If the patient has any specific requests or concerns regarding the procedure, it is important to note them in the order form.
7. Lastly, sign and date the order form as the healthcare provider who is requesting the imaging procedure.
8. Submit the completed order form to the appropriate imaging center either in person, via fax, or electronically, following their specific submission guidelines.

Who needs cardinal sports imaging order:

1. Athletes who have sustained sports-related injuries and require diagnostic imaging to assess the extent of the injury and develop an appropriate treatment plan.
2. Physical therapists, sports medicine physicians, orthopedic surgeons, or other healthcare professionals who are involved in the care and treatment of athletes.
3. Coaches and trainers who want to ensure the well-being of their athletes by obtaining accurate imaging results for diagnosis and treatment referral.

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