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Mallinckrodt Institute of Radiology Barnes Jewish Hospital Physician Request Form for Cardiac FIDGET/CT (Rest Perfusion PET/CT) Patient Name: Date of Study: DOB: Gender: Weight: pounds Patient Address:
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How to fill out Mallinckrodt Institute of Radiology:

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Mallinckrodt Institute of Radiology is a world-renowned radiology department at Washington University School of Medicine in St. Louis.
Healthcare providers and facilities that perform radiology services are required to file Mallinckrodt Institute of Radiology.
Mallinckrodt Institute of Radiology can be filled out online through the designated platform provided by the institution.
The purpose of Mallinckrodt Institute of Radiology is to collect and report data on radiology services provided by healthcare providers.
Information such as the number of radiology procedures performed, types of procedures, and patient demographics must be reported on Mallinckrodt Institute of Radiology.
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