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Get the free Cobham Day Surgery Ultrasound Request Form Jun 14 v10 - epsomedical co

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Transvaginal Ultrasound Service Patient Name : Address: GP Details/Practice Stamp: NHS No: Date of Birth: Telephone Numbers: Home: Mobile: Clinical information:
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How to fill out cobham day surgery ultrasound

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How to fill out cobham day surgery ultrasound:

01
Begin by carefully reading and understanding the instructions provided with the ultrasound form.
02
Fill in your personal information accurately, including your name, date of birth, and contact details.
03
Provide any relevant medical history or information that may be useful for the ultrasound technician, such as prior surgeries or medications.
04
If you have been given any specific instructions regarding fasting or preparation for the procedure, make sure to follow them accordingly and mention them on the form.
05
Indicate any specific areas or concerns that you would like the ultrasound to focus on.
06
If you have any known allergies or sensitivities, ensure that this information is clearly stated on the form.
07
Double-check all the information filled on the form for accuracy and completeness.
08
Sign and date the form, showing your consent for the cobham day surgery ultrasound.

Who needs cobham day surgery ultrasound:

01
Patients who have been referred by their healthcare provider for further investigation or diagnosis.
02
Individuals who have been experiencing symptoms or conditions that require further examination, such as abdominal pain or abnormal swelling.
03
Patients who are scheduled for a surgical procedure that may require pre-operative imaging for planning and assessment.
04
Those who are undergoing routine check-ups or screenings as a preventive measure.
05
Individuals who have had prior medical conditions or surgeries that need to be monitored or evaluated.
06
Patients who require image-guided interventions or treatments.
07
Individuals who have a family history of certain medical conditions that may necessitate ultrasound imaging for early detection or monitoring.
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