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OUTPATIENT USMC RADIOLOGY REQUEST ORDER: Please fill out completely and write legibly.
Please FAX to: (206) 5987690Scheduling office phone number: (206) 5987200CIRCLE EXAM(S) DESIRED: CT MRI FLOOR
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How to fill out outpatient uwmc radiology request

How to fill out outpatient uwmc radiology request
01
To fill out an outpatient UWMC radiology request, follow these steps:
02
Start by entering the patient's personal information, including their name, date of birth, and contact information.
03
Indicate the reason for the radiology request by selecting the appropriate option from a provided list or by entering a specific diagnosis or symptom.
04
Specify the desired radiology procedure or test by selecting the appropriate option from a provided list.
05
Provide any relevant medical history or additional information that may be helpful for the radiologist.
06
Include any specific instructions or concerns related to the radiology request.
07
Double-check all the entered information for accuracy and completeness.
08
Submit the completed outpatient UWMC radiology request either electronically or by handing it to the respective department.
09
In case of any inquiries or clarifications, contact the UWMC radiology department.
Who needs outpatient uwmc radiology request?
01
Anyone seeking radiology services at UWMC as an outpatient needs to fill out an outpatient UWMC radiology request. This may include individuals with suspected or diagnosed medical conditions requiring radiology imaging or tests such as X-rays, CT scans, MRIs, ultrasounds, etc. Physicians, referring providers, or healthcare facilities may also fill out such requests on behalf of their patients.
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What is outpatient uwmc radiology request?
Outpatient UWMC radiology request is a form used to schedule and request radiology imaging services for patients who are not admitted to the hospital and are receiving treatment on an outpatient basis.
Who is required to file outpatient uwmc radiology request?
Physicians, healthcare providers, or medical staff responsible for ordering radiology imaging services for patients are required to file outpatient UWMC radiology request.
How to fill out outpatient uwmc radiology request?
Outpatient UWMC radiology request can be filled out by providing patient information, specific imaging services needed, relevant medical history, and any other required documentation.
What is the purpose of outpatient uwmc radiology request?
The purpose of outpatient UWMC radiology request is to ensure that patients receive the necessary radiology imaging services in a timely and efficient manner.
What information must be reported on outpatient uwmc radiology request?
Outpatient UWMC radiology request must include patient demographics, insurance information, referring provider details, reason for the exam, and any relevant clinical information.
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