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PET/CT Worksheet for UnityPoint Health St. Luke's Hospital Name: Exam Date DOB: MR# Age: Sex: Height: Weight: Ordering Physician: Phone # where patient can be reached: Pregnant or Nursing: Yes No
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How to fill out petct scheduling worksheet
How to fill out petct scheduling worksheet
01
Start by gathering all the necessary information about the patient and the PET/CT scan that needs to be scheduled.
02
Open the PET/CT scheduling worksheet.
03
Fill out the patient's personal details such as name, date of birth, and contact information.
04
Provide the referring physician's name and contact information.
05
Enter the reason for the PET/CT scan and any relevant medical history.
06
Specify any pre-scan instructions that the patient needs to follow, such as fasting or medication restrictions.
07
Indicate the preferred date and time for the scan, if applicable.
08
Include any special requests or additional information in the designated section.
09
Double-check all the entered information for accuracy and completeness.
10
Submit the completed PET/CT scheduling worksheet to the appropriate department for further processing.
Who needs petct scheduling worksheet?
01
Medical professionals such as doctors, radiologists, or nuclear medicine physicians who are responsible for scheduling PET/CT scans.
02
Hospitals, clinics, or imaging centers that offer PET/CT imaging services.
03
Patients who are scheduled for or considering undergoing a PET/CT scan.
04
Administrative staff or receptionists who handle appointment scheduling for medical facilities.
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What is petct scheduling worksheet?
The PET/CT scheduling worksheet is a document used to organize and coordinate appointments for PET/CT scans.
Who is required to file petct scheduling worksheet?
Patients who need to schedule a PET/CT scan are required to fill out the scheduling worksheet.
How to fill out petct scheduling worksheet?
To fill out the PET/CT scheduling worksheet, patients need to provide their personal information, medical history, and availability for appointments.
What is the purpose of petct scheduling worksheet?
The purpose of the PET/CT scheduling worksheet is to streamline the appointment scheduling process and ensure that patients receive timely and appropriate care.
What information must be reported on petct scheduling worksheet?
The PET/CT scheduling worksheet must include patient demographics, medical history, insurance information, and availability for appointments.
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