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OUTPATIENT RADIOLOGY (Non-scheduled Procedures) Phoenix: (877)5-HEART-0 (877-543-2780) Fax: (602) 251-8754 Tempe St. Luke s: (480)784-5605 Fax: (480) 784-5608 ? St. Luke s Medical Center ? Regular

How to fill out non scheduled diagnostic imaging

How to fill out non-scheduled diagnostic imaging:

1. Begin by gathering all necessary information and documents related to the patient and the diagnostic imaging request.
2. Ensure that the patient's personal details are accurately filled out, including their name, date of birth, contact information, and any relevant identification numbers.
3. Provide a detailed description of the type of diagnostic imaging required, including the specific body part or system to be examined.
4. Indicate whether the imaging request is for a specific condition or symptom, or if it is part of a routine check-up or screening.
5. Specify any additional information or patient history that may be relevant to the diagnostic imaging, such as previous medical conditions, surgeries, or allergies.
6. If applicable, include any specific instructions from the requesting healthcare provider, such as a preferred imaging facility or specific imaging modalities to be used.
7. Double-check all the information provided for accuracy and completeness before submitting the request.
8. Make sure to follow any specific protocols or procedures of the healthcare facility or system in which the diagnostic imaging request is being processed.

Who needs non-scheduled diagnostic imaging:

1. Patients who have experienced unexplained symptoms and require further investigation to reach a diagnosis.
2. Individuals who have recently undergone treatment or surgery and need follow-up imaging to monitor their progress or detect potential complications.
3. People who have a family history of certain medical conditions and may require periodic screenings or surveillance imaging.
4. Individuals involved in accidents or traumatic incidents that may have caused internal injuries or fractures.
5. Patients with chronic diseases or conditions that require regular imaging to monitor disease progression or treatment effectiveness.
6. Athletes or active individuals who may need imaging to assess sports-related injuries or evaluate musculoskeletal issues.
7. Individuals participating in clinical trials or research studies that involve diagnostic imaging as part of the study protocol.
8. Healthcare providers who need imaging for educational or training purposes, such as medical students, residents, or fellows.

Remember to consult with a healthcare professional or referring physician to determine if non-scheduled diagnostic imaging is necessary in each specific case and to ensure proper follow-up and interpretation of the results.

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