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CT/MRI REQUEST FOR EXAMINATION FORM PRINT HQ CT HQ MRIAppointmentqq Ajax (Fax: 9054265234) HQ Mississauga (Fax: 9055680941)P: 18447311817RESETDAY MONTH YEARS AVE ASLocationArrive at least 30 minutes
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How to fill out ctmri request for examination

01
Step 1: Obtain the CTMRI request form from the radiology department.
02
Step 2: Fill out the patient's personal details such as name, date of birth, and contact information.
03
Step 3: Provide relevant medical information, including the reason for the CTMRI examination and any known allergies or medical conditions.
04
Step 4: Indicate the type of CTMRI examination required, such as brain, abdomen, or spine.
05
Step 5: If a contrast agent is needed, specify it in the request form.
06
Step 6: Ensure the referring physician's details are accurately filled in, including name and contact information.
07
Step 7: Sign and date the CTMRI request form.
08
Step 8: Submit the completed form to the radiology department and await further instructions or appointment scheduling.

Who needs ctmri request for examination?

01
Patients who require further diagnostic evaluation of certain medical conditions may need a CTMRI request for examination.
02
Physicians or healthcare professionals who suspect a patient may have underlying health issues that can be better assessed through CTMRI may also need to fill out this request.
03
The CTMRI request helps ensure that the appropriate diagnostic imaging of a patient's internal organs or structures is performed for accurate medical assessment and treatment planning.
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CTMRI request for examination is a formal request submitted to the relevant authority to initiate examination of a CTMRI application.
The applicant or their authorized representative is required to file a CTMRI request for examination.
CTMRI request for examination can be filled out electronically or in paper format following the guidelines provided by the relevant authority.
The purpose of CTMRI request for examination is to request the examination of a CTMRI application to determine its patentability.
CTMRI request for examination must include details such as application number, applicant information, and any relevant documents.
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