Get the free Radiology DXA Bone Density Scan Referral Form - med dartmouth-hitchcock

Department of Radiology Phone: (603) 653-9388 Please fax request to: Referral Form Bone Density Study (DA) Fax: (603) 650-0380 Today s date: Date of service: Time of service: Patient s name: MAN:

How to fill out radiology dxa bone density

How to fill out radiology DXA bone density:

1. Obtain the necessary forms: Begin by gathering the required paperwork for filling out the radiology DXA bone density procedure. This typically includes a patient information form, medical history questionnaire, and consent form.
2. Provide accurate patient information: Ensure that all fields requesting patient information such as name, age, gender, and contact details are accurately filled out. Double-check for any errors or missing information.
3. Complete the medical history questionnaire: Fill out the medical history questionnaire thoroughly, providing details about any previous fractures, family history of osteoporosis, medical conditions, current medications, and lifestyle factors that may impact bone health.
4. Follow any specific instructions: If there are specific instructions provided on the form or by the healthcare provider, make sure to adhere to them. This may include fasting requirements or avoiding certain medications prior to the DXA scan.
5. Sign and date the necessary sections: At the bottom of each form, there will be sections for the patient's signature and the date. Ensure that these sections are completed accurately and legibly.

Who needs radiology DXA bone density?

1. Individuals at higher risk of osteoporosis: Radiology DXA bone density scans are commonly recommended for individuals at higher risk of osteoporosis. This includes postmenopausal women, men above the age of 70, individuals with a history of fractures, those with a family history of osteoporosis, and people on long-term steroid therapy.
2. Monitoring bone health in certain medical conditions: People with medical conditions such as rheumatoid arthritis, hyperthyroidism, chronic kidney disease, and hyperparathyroidism may require regular DXA scans to monitor their bone health.
3. Assessing the effectiveness of osteoporosis treatment: For individuals receiving osteoporosis treatment, repeated DXA scans may be necessary to evaluate the effectiveness of the prescribed treatment and make any necessary adjustments.

It is important to consult with a healthcare professional to determine if a radiology DXA bone density scan is appropriate for an individual's specific circumstances.

For pdfFiller’s FAQs

What is radiology dxa bone density?

Radiology DEXA bone density is a type of imaging technique that measures the mineral density of bones, commonly used to diagnose osteoporosis.

Who is required to file radiology dxa bone density?

Patients who are at risk for osteoporosis or related bone diseases are typically required to undergo radiology DEXA bone density scans.

How to fill out radiology dxa bone density?

A radiology technician will perform the scan, and the results will be interpreted by a radiologist or medical provider.

What is the purpose of radiology dxa bone density?

The purpose of radiology DEXA bone density scans is to assess bone health and diagnose conditions like osteoporosis.

What information must be reported on radiology dxa bone density?

The report should include the patient's demographics, scan results, and interpretation by a qualified medical professional.

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