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RDM Outpatient Imaging Request Form University of Illinois Urbana-Champaign Veterinary Teaching Hospital Phone: (217) 333-1800 Fax: (217)333-9796 Email: rad consults vetoed.Illinois.edu Veterinarian:
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How to fill out rdvm outpatient imaging request
How to fill out an RDVM outpatient imaging request:
01
Start by downloading the RDVM outpatient imaging request form from the relevant healthcare provider's website or requesting one from the clinic or hospital.
02
Fill out the patient's personal information, including their full name, date of birth, address, and contact details. It is important to ensure accuracy in this section.
03
Select the type of imaging requested, such as X-ray, MRI, CT scan, or ultrasound. If unsure, consult the veterinarian or healthcare provider for guidance.
04
Provide the reason for the imaging request. This can include symptoms, suspected conditions, or medical history relevant to the need for imaging.
05
Indicate the desired urgency level for the imaging request. Options typically include routine, urgent, and emergency.
06
Include any additional details or special instructions that the healthcare provider should be aware of, such as any allergies or specific concerns about the patient.
07
Note the referring veterinarian's information, including their name, clinic name, address, phone number, and any relevant additional contact details.
08
Sign and date the form to certify the completeness and accuracy of the provided information.
09
Make a copy of the filled-out form for your records before submitting it to the appropriate healthcare provider.
Who needs an RDVM outpatient imaging request?
01
Veterinarians who require diagnostic imaging to evaluate a patient's condition or to obtain further insights into a medical issue may need to fill out an RDVM outpatient imaging request.
02
Pet owners who have been referred by their veterinarian to a specialist or an imaging center for diagnostic imaging may also need to fill out an RDVM outpatient imaging request.
03
Animal hospitals or clinics that need to request outpatient imaging for their patients may use an RDVM outpatient imaging request to ensure accurate documentation and communication with the imaging facility.
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What is rdvm outpatient imaging request?
RDVM outpatient imaging request is a form used to request outpatient imaging services from a radiology provider.
Who is required to file rdvm outpatient imaging request?
Veterinarians are required to file rdvm outpatient imaging request for their patients.
How to fill out rdvm outpatient imaging request?
To fill out rdvm outpatient imaging request, provide patient information, imaging services requested, and any additional notes.
What is the purpose of rdvm outpatient imaging request?
The purpose of rdvm outpatient imaging request is to request specific imaging services for a patient.
What information must be reported on rdvm outpatient imaging request?
Information such as patient name, date of birth, imaging services requested, and referring veterinarian's information must be reported on rdvm outpatient imaging request.
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