Get the free PET CT Oncology Referral Form.pdf - PET Imaging Center
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BIOMEDICAL RESEARCH FOUNDATION P.E.T. IMAGING CENTER FAX COVER PAGE PHONE: (318) 6754042 TOLL FREE: 8886851152 FAX: (318) 6754020To: Return Information to: Scheduling Department (318) 6754042The following
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How to fill out pet ct oncology referral
How to fill out pet ct oncology referral
01
Obtain a referral form from the oncologist or referring physician.
02
Fill out the patient's personal information, including name, date of birth, and contact details.
03
Provide relevant medical history, including previous cancer treatments and any known allergies.
04
Specify the reason for the referral, such as suspicion of cancer recurrence or staging of a new cancer.
05
Indicate any specific areas of concern or sites that need to be evaluated.
06
Include any additional tests or imaging studies that have already been conducted.
07
Sign and date the referral form.
08
Submit the completed referral form to the appropriate department or facility for scheduling the PET/CT scan.
Who needs pet ct oncology referral?
01
Patients who have been diagnosed with cancer and require further evaluation, staging, or monitoring may need a PET/CT oncology referral.
02
Oncologists, referring physicians, or other healthcare professionals involved in the management of cancer patients may also request a PET/CT oncology referral to assess treatment response or disease progression.
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What is pet ct oncology referral?
A PET CT oncology referral is a request made by a healthcare provider to refer a patient for a Positron Emission Tomography (PET) scan with computed tomography (CT) imaging for the evaluation of cancer.
Who is required to file pet ct oncology referral?
Healthcare providers such as oncologists, radiologists, or referring physicians are required to file PET CT oncology referrals.
How to fill out pet ct oncology referral?
PET CT oncology referrals can typically be filled out by providing patient information, reason for referral, and any other relevant medical history.
What is the purpose of pet ct oncology referral?
The purpose of a PET CT oncology referral is to help diagnose and stage cancer, monitor treatment response, and guide further management decisions.
What information must be reported on pet ct oncology referral?
Information such as patient demographics, clinical history, reason for referral, and any relevant laboratory or imaging results must be reported on a PET CT oncology referral.
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