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A Service of Southern California University of Health SciencesREQUISITION FOR DEXA WRIST SCAN Patient: Age: Sex: Name of Dr.: Phone# () Fax# () Return report to: number street suite # city state zip
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How to fill out dexa requisition

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How to fill out dexa requisition

01
Fill in the patient's personal information, such as name, gender, date of birth, and contact details.
02
Provide relevant medical history and clinical information.
03
Specify the reason for ordering a DEXA scan.
04
Indicate any specific areas or concerns to focus on during the scan.
05
Include any relevant laboratory or imaging test results.
06
Ensure proper labeling of the requisition form.
07
Submit the completed requisition to the appropriate healthcare provider or diagnostic center.

Who needs dexa requisition?

01
Individuals with a suspected or confirmed diagnosis of osteoporosis or osteopenia.
02
Patients at risk of developing or experiencing bone fractures.
03
Those with disorders affecting bone density, such as hyperparathyroidism or chronic kidney disease.
04
Postmenopausal women or elderly individuals with risk factors for bone loss.
05
Individuals undergoing certain medical treatments that may affect bone health, such as long-term corticosteroid therapy.
06
Patients being monitored for the progress of osteoporosis treatment.
07
Anyone referred by a physician or healthcare provider for DEXA scanning to assess bone density.
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Dexa requisition is a medical order for a Dual-energy X-ray absorptiometry (DEXA) scan, which is used to measure bone density.
Healthcare providers such as doctors or specialists are required to file dexa requisition for their patients.
Dexa requisition can be filled out by providing patient information, relevant medical history, and reason for requesting the DEXA scan.
The purpose of dexa requisition is to assess bone mineral density and diagnose conditions such as osteoporosis.
Information such as patient's name, age, medical history, referring physician, and reason for DEXA scan must be reported on dexa requisition.
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