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INTESTINAL ULTRASOUND REFERRAL Gastroenterology Department Alfred Center, First floor 99 Commercial Road, Melbourne 3000 pH: (03) 9076 2223 Fax: (03) 9076 2194 UR: Date: Surname: Referring Doctor:
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How to fill out intestinal ultrasound referral

How to fill out intestinal ultrasound referral
01
Consult with your healthcare provider to determine if an intestinal ultrasound referral is necessary.
02
Obtain the necessary form or documentation required for the referral.
03
Fill out the referral form completely and accurately, providing all the requested information.
04
Include any relevant medical history or previous test results that may be useful for the ultrasound.
05
Ensure that the referral is signed and dated by the appropriate healthcare professional.
06
Submit the completed referral form to the designated healthcare facility or specialist.
07
Follow any additional instructions provided by your healthcare provider or the receiving facility regarding preparation or scheduling for the intestinal ultrasound.
Who needs intestinal ultrasound referral?
01
Individuals who are experiencing symptoms suggestive of intestinal issues, such as abdominal pain, bloating, changes in bowel habits, or unexplained weight loss.
02
Patients with suspected gastrointestinal diseases, including Crohn's disease, ulcerative colitis, diverticulitis, or bowel obstruction.
03
Individuals with a family history of gastrointestinal conditions or a genetic predisposition to such diseases.
04
Those who have undergone previous abdominal surgeries and require monitoring or evaluation of the intestines.
05
Patients with known liver or gallbladder conditions that may require assessment of the nearby intestines.
06
Individuals with unexplained anemia or blood in the stool that needs further investigation.
07
Patients with suspected tumors or abnormalities in the intestines, such as polyps or strictures.
08
Individuals who require follow-up or surveillance after a previous intestinal procedure or surgery.
09
Anyone as recommended by their healthcare provider based on their specific medical condition and symptoms.
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What is intestinal ultrasound referral?
Intestinal ultrasound referral is a medical order for a diagnostic imaging test that uses sound waves to create images of the intestines.
Who is required to file intestinal ultrasound referral?
A healthcare provider or physician is typically required to file intestinal ultrasound referral for a patient.
How to fill out intestinal ultrasound referral?
Intestinal ultrasound referral is typically filled out by the healthcare provider or physician ordering the test, with details of the patient and reason for the test.
What is the purpose of intestinal ultrasound referral?
The purpose of intestinal ultrasound referral is to help diagnose and evaluate conditions affecting the intestines, such as inflammation, blocks, or tumors.
What information must be reported on intestinal ultrasound referral?
Intestinal ultrasound referral must include patient demographics, clinical history, reason for the test, requested type of exam, and healthcare provider information.
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