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Preregistration Form Breast Imaging One Day Seminar March 1, 2014, Best Western 770 Huffman Mill Road Burlington, NC Date of Registration: NC SRT, Inc. Membership (if applicable) #: Last Name: First

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What is pre-registration form breast imaging?

The pre-registration form for breast imaging is a form used to gather information from individuals before they undergo a breast imaging procedure.

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Patients who are scheduled to undergo a breast imaging procedure are required to fill out the pre-registration form.

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Patients can fill out the pre-registration form by providing their personal and medical information, as well as any relevant insurance information.

What is the purpose of pre-registration form breast imaging?

The purpose of the pre-registration form for breast imaging is to ensure that all necessary information is collected prior to the procedure, to streamline the check-in process, and to verify insurance coverage.

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The pre-registration form for breast imaging may require information such as personal details, medical history, insurance information, and consent for the procedure.

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