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Normal Imaging Oakland 3200 Telegraph Avenue Oakland, CA 94609 Phone: (510) 6631950 Fax: (510) 6631951 PATIENT INFORMATION FORM Last Name: First Name: Middle Name: MAN: DOB: Gender: Address 1: Address

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How to fill out Norcal Imaging Oakland:

1. Begin by gathering all necessary personal information such as your full name, date of birth, contact information, and insurance details. This will ensure accurate identification and facilitate communication.
2. Research and familiarize yourself with Norcal Imaging Oakland's website or any provided forms to ensure you have the correct documents needed.
3. Read and understand each section of the form before filling it out. This will help you provide accurate and complete information. If you have any questions or are unsure about any section, don't hesitate to ask for assistance.
4. Start by filling out the basic information section. This typically includes your name, address, phone number, and date of birth. Double-check for any errors or missing information.
5. Proceed to the insurance information section. Ensure that you provide your insurance provider, policy number, group number, and any other pertinent details. If you don't have insurance, make sure to inform Norcal Imaging Oakland and inquire about self-pay options.
6. If additional information is required, such as a referring physician's details or medical history, ensure that you provide accurate and complete information. This can help the medical staff better understand your situation and provide appropriate care.
7. Review your completed form for any errors or missing details. Make sure all sections are filled out properly, and there are no inconsistencies or omissions.
8. Finally, sign and date the form as required. This indicates that you have provided truthful and accurate information.

Who needs Norcal Imaging Oakland?

1. Individuals who require medical imaging services such as X-rays, MRI scans, CT scans, ultrasounds, or mammograms may need Norcal Imaging Oakland. These individuals may include people with injuries, suspected diseases, or those undergoing routine preventative screenings.
2. Patients who have been referred by their primary care physicians or specialists to have specific tests or imaging done at Norcal Imaging Oakland.
3. Individuals who need diagnostic imaging services as part of their ongoing medical treatment, monitoring, or follow-up care.
4. People who prefer Norcal Imaging Oakland due to its reputation, convenience, or availability of specialized imaging services.
5. Those with insurance coverage for medical imaging services who are seeking an in-network provider like Norcal Imaging Oakland to minimize out-of-pocket expenses.

Note: It is important to consult with your healthcare provider or refer to Norcal Imaging Oakland's specific guidelines to determine if their services are appropriate and necessary for your individual circumstances.

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What is norcal imaging oakland?

NorCal Imaging Oakland is a medical imaging center located in Oakland, California.

Who is required to file norcal imaging oakland?

Healthcare providers or facilities using the services of NorCal Imaging Oakland may be required to file certain documentation.

How to fill out norcal imaging oakland?

The form for NorCal Imaging Oakland can typically be filled out online or in person at the facility.

What is the purpose of norcal imaging oakland?

The purpose of NorCal Imaging Oakland is to provide medical imaging services to patients.

What information must be reported on norcal imaging oakland?

Patients' personal information, insurance details, and medical history may need to be reported on NorCal Imaging Oakland documentation.