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Radiology RequestINCOMPLETE / ILLEGIBLE FORMS WILL BE RETURNED in line with FIRMER 2000 regulationsPlease answer the following for ALL requests:Lead GP/GP Name:Practice Name:Practice Code:Practice
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The Radiology Request is a Word document required to be submitted to the relevant address to provide specific info. It needs to be filled-out and signed, which can be done manually in hard copy, or with a certain software like PDFfiller. This tool allows to fill out any PDF or Word document right in the web, customize it depending on your requirements and put a legally-binding e-signature. Once after completion, the user can easily send the Radiology Request to the relevant recipient, or multiple ones via email or fax. The editable template is printable as well thanks to PDFfiller feature and options presented for printing out adjustment. In both digital and in hard copy, your form will have got neat and professional outlook. You can also save it as the template to use later, there's no need to create a new blank form from the beginning. All that needed is to amend the ready template.

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A radiology request is a form or document requesting a diagnostic imaging procedure to be performed on a patient.
Typically, a physician or healthcare provider is required to file a radiology request for their patient.
To fill out a radiology request, the healthcare provider must provide patient information, reason for the exam, specific imaging procedure needed, and any other relevant details.
The purpose of a radiology request is to obtain diagnostic imaging to aid in the diagnosis and management of a patient's condition.
Patient demographic information, medical history, reason for the exam, specific imaging procedure needed, any relevant clinical information.
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