Get the free Medray Bone Density Requisition - Medray Imaging

Suite 100, 3001 Gordon Avenue Coquitlam, British Columbia V3C 2K7 Bone Densitometry Requisition tel 604.941.7611 fax 604.942.4612 www.medrayimaging.com Patient: Birth date: Address: Patient phone:

How to fill out medray bone density requisition

How to fill out medray bone density requisition:

1. Start by filling out the patient's personal information, including their full name, date of birth, and contact information. This ensures that the test results are accurately linked to the correct individual.
2. Provide the patient's current medical history, including any relevant medical conditions or previous surgeries. This information helps the healthcare professional interpret the bone density results in the context of the patient's overall health.
3. Indicate the reason for the bone density test. Specify whether it is for diagnostic purposes, assessing treatment effectiveness, or monitoring a known condition. This guides the healthcare professional in determining the appropriate approach for the examination.
4. Specify any medications or supplements the patient is currently taking. Certain medications can affect bone density results, so it's essential to disclose all relevant drug information.
5. Mention any known allergies or sensitivities that the patient may have. This allows the healthcare professional to take necessary precautions during the bone density test to ensure the patient's safety and comfort.
6. If the patient has had any previous bone density tests, provide the dates and locations of these tests. This information helps establish a baseline for comparison and aids in tracking changes in bone density over time.

Who needs medray bone density requisition:

1. Individuals who are at risk for osteoporosis or low bone density may need a medray bone density requisition. This includes postmenopausal women, individuals with a family history of osteoporosis or fractures, those with certain medical conditions (such as rheumatoid arthritis or hyperthyroidism), and individuals who have taken certain medications (such as long-term corticosteroids).
2. Patients who have experienced fractures from minor trauma or have had a previous bone density test showing low bone mass may also require a medray bone density requisition.
3. Additionally, individuals who are on long-term therapy that can impact bone health, such as hormone therapy or certain cancer treatments, may need a bone density test and thus require a medray bone density requisition.

For pdfFiller’s FAQs

What is medray bone density requisition?

Medray bone density requisition is a form used to request a bone density scan to assess the strength and health of a patient's bones.

Who is required to file medray bone density requisition?

A healthcare provider, such as a doctor or specialist, is required to file a medray bone density requisition on behalf of their patient.

How to fill out medray bone density requisition?

To fill out a medray bone density requisition, the healthcare provider must provide their information, the patient's information, and the reason for requesting the bone density scan.

What is the purpose of medray bone density requisition?

The purpose of medray bone density requisition is to assess the risk of osteoporosis or bone fractures in a patient.

What information must be reported on medray bone density requisition?

The medray bone density requisition must include the healthcare provider's contact information, the patient's demographic information, medical history, and reason for the scan.

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