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SKELETAL: LUNG: INFECTION/INFLAMMATION: BONE SCAN (req 3-5 hrs). VENTILATION/PERFUSION. WHITE CELL SCAN (2 days). BONE ...
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How to fill out nuclear medicine request
How to fill out nuclear medicine request
01
Obtain the nuclear medicine request form from the relevant department or institution.
02
Fill out the patient's personal information including full name, date of birth, gender, and contact details.
03
Provide the referring physician's name, contact information, and any specific instructions or concerns.
04
Clearly indicate the reason for the nuclear medicine request and the specific procedure or test required.
05
Include any relevant medical history, previous imaging or test results, and current medications.
06
Sign the request form and date it to confirm your authorization and agreement with the information provided.
07
Double-check all the filled information for accuracy and completeness before submitting the request form.
Who needs nuclear medicine request?
01
Nuclear medicine requests are typically needed by referring physicians or healthcare providers who suspect or need to diagnose certain medical conditions or diseases.
02
This can include specialists such as radiologists, oncologists, cardiologists, endocrinologists, or other medical professionals who require nuclear imaging or tests for their patients.
03
Patients who have been recommended or referred for nuclear medicine procedures may also require a nuclear medicine request form to proceed with the testing.
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What is nuclear medicine request?
Nuclear medicine request is a form submitted to request nuclear medicine procedures for diagnosing and treating medical conditions.
Who is required to file nuclear medicine request?
Medical professionals such as doctors, physicians, and radiologists are required to file nuclear medicine requests.
How to fill out nuclear medicine request?
Nuclear medicine request can be filled out by providing patient information, requested procedure, reason for the procedure, and any relevant medical history.
What is the purpose of nuclear medicine request?
The purpose of nuclear medicine request is to schedule and perform nuclear medicine procedures to aid in the diagnosis and treatment of medical conditions.
What information must be reported on nuclear medicine request?
Information such as patient demographics, medical history, requested procedure, and possible allergies must be reported on nuclear medicine request.
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