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BRYANRADIOLOGYASSOCIATES Computed Tomography (CT) Questionnaire Patient Name: DOB / / Sex: M × F Height: Weight: Over 50 yrs. Old? Y × N Referring Physician: For Technologist Completion Only: MR#:
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Start by carefully reading each question on the questionnaire. Make sure you understand what information is being asked for.
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Gather all the necessary documents and information that will be needed to complete the questionnaire. This may include personal identification, financial records, medical history, or other relevant documents.
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Fill in your personal information accurately and completely. This may include your name, address, contact information, and any other relevant details.
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Proceed to answer each question on the questionnaire to the best of your knowledge and ability. Be honest and provide any requested information in a clear and concise manner.
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Who needs ct questionnaire rev 01-2015doc?

01
Individuals undergoing a CT scan: The ct questionnaire rev 01-2015doc is typically required to be filled out by individuals who are scheduled to undergo a CT scan. This helps the healthcare providers gather important information about the patient's medical history, allergies, and other relevant factors that can affect the scan process.
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Medical professionals and healthcare providers: The ct questionnaire rev 01-2015doc is also beneficial for medical professionals and healthcare providers who are responsible for conducting and interpreting CT scans. By having access to accurate and comprehensive patient information, they can make better-informed decisions regarding the scan procedure and patient care.
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Medical facilities and clinics: Medical facilities and clinics that offer CT scan services may require patients to fill out the ct questionnaire rev 01-2015doc. This ensures that all necessary information is obtained before the scan, promoting patient safety and facilitating the efficiency of the scanning process.
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