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BC's ECHOCARDIOGRAM REQUISITION Outpatient Inpatient Bubble Contrast Sta Standard (THE) Unit/Ward Name: Address: Phone #: PhD #: DOB: Gender Inpatient unique # Contrast TEE Intro TEE Stress Emergent
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How to fill out bc s echocardiogram requisition
How to fill out BC's echocardiogram requisition:
01
Start by filling out the patient's personal information, including their name, date of birth, and contact information.
02
Indicate the referring physician's name and contact details, as well as any specific instructions or reasons for the echocardiogram.
03
Specify the patient's health card number and any relevant billing or insurance details.
04
Provide a brief medical history, including any relevant diagnoses, medications, or allergies.
05
Clearly indicate the type of echocardiogram being requested, such as a transthoracic echocardiogram, transesophageal echocardiogram, or stress echocardiogram.
06
If necessary, include any additional tests or procedures that should be done simultaneously, such as a 12-lead electrocardiogram or cardiac enzymes.
07
If applicable, mention any preferences or special instructions for the echocardiogram, such as the use of contrast agents or specific imaging views.
08
Sign and date the requisition to validate the request.
Who needs BC's echocardiogram requisition?
01
Patients who have been referred by their primary care physician for further evaluation of their cardiovascular health may require BC's echocardiogram requisition.
02
Individuals who have symptoms or risk factors suggestive of heart disease, such as chest pain, shortness of breath, palpitations, or a family history of heart conditions, may also need this requisition.
03
BC's echocardiogram requisition is typically used by healthcare professionals, including cardiologists or primary care physicians, who require detailed imaging information about the heart's structure and function to aid in diagnosis and treatment planning.
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What is bc s echocardiogram requisition?
The BC s echocardiogram requisition is a form used to request an echocardiogram for a patient in British Columbia.
Who is required to file bc s echocardiogram requisition?
Medical professionals such as doctors or specialists are required to fill out and submit the BC s echocardiogram requisition.
How to fill out bc s echocardiogram requisition?
To fill out the BC s echocardiogram requisition, the medical professional must provide the patient's information, reason for the echocardiogram, and any relevant medical history.
What is the purpose of bc s echocardiogram requisition?
The purpose of the BC s echocardiogram requisition is to request an echocardiogram to help diagnose and monitor heart conditions in patients.
What information must be reported on bc s echocardiogram requisition?
The BC s echocardiogram requisition must include the patient's name, date of birth, reason for the echocardiogram, relevant medical history, and the medical professional's contact information.
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