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Hospital Imaging Requisition Order DEACONESS HOSPITAL: Scheduling: 509.473.7777 Fax: 509.473.7511 Radiologist Contact: 509.822.4400 VALLEY HOSPITAL: Scheduling: 509.473.5483 Fax: 509.473.5490 Radiologist
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How to fill out hospital imaging requisition order

01
To fill out a hospital imaging requisition order, follow these steps:
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Start by entering the patient's personal information, such as their full name, date of birth, and contact details.
03
Indicate the reason for the imaging test by selecting the appropriate option from a list of common conditions or symptoms. Alternatively, you may provide a specific diagnosis or reason in the designated space.
04
Specify the type of imaging test required, such as X-ray, MRI, CT scan, ultrasound, etc.
05
Provide any additional relevant information or special instructions, if necessary.
06
Sign and date the requisition form to validate the order.
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Submit the completed form to the imaging department or hospital staff responsible for scheduling and conducting the tests.

Who needs hospital imaging requisition order?

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The hospital imaging requisition order is needed by medical professionals, including:
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- General Physicians
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- Specialists
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- Surgeons
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- Radiologists
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- Oncologists
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- And other healthcare providers who require diagnostic imaging to aid in their patients' medical evaluations and treatments.
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Hospital imaging requisition order is a form or document used to request specific imaging procedures for a patient in a hospital setting.
Hospital staff, such as doctors, nurses, or technicians, are typically required to file hospital imaging requisition orders.
To fill out a hospital imaging requisition order, one must provide patient information, specific imaging procedures needed, date and time of request, and relevant clinical information.
The purpose of a hospital imaging requisition order is to ensure that the necessary imaging procedures are performed on a patient in a timely manner.
Patient demographics, physician information, imaging procedure requested, clinical indication for the procedure, and any relevant medical history must be reported on a hospital imaging requisition order.
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