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6162525950 Fax:6164526767 6162525950 Fax:6164526767 6162525950 Fax:6164526767 (616) 2525950 Fax: (616) 4526767 metro health.net Peripheral Vascular Order Form Metro J.A. Hospital Hathaway Circle Business
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What is peripheral vascular order form?
The peripheral vascular order form is a document used to request supplies or services related to peripheral vascular procedures.
Who is required to file peripheral vascular order form?
Physicians, surgeons, or healthcare providers who are prescribing or ordering peripheral vascular supplies or services are required to file the form.
How to fill out peripheral vascular order form?
The form should be filled out completely and accurately with the patient's information, details of the supplies or services being ordered, and provider's information.
What is the purpose of peripheral vascular order form?
The purpose of the form is to ensure proper documentation and communication of orders for peripheral vascular supplies or services.
What information must be reported on peripheral vascular order form?
The form should include patient's name, date of birth, medical record number, ordered supplies or services, provider's name and contact information.
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