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Request for Cardiac CT Consultation (Computed Tomography)HUB THIN REQUEST TO:Last NameFirst Ramekin/HAN/OCN/SHIP #Date of Birth (YYY/mm/dd)AddressReferral Date: Hamilton Health Sciences Phone: 9055212100
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How to fill out hnhb cardiac ct requisition
How to fill out hnhb cardiac ct requisition
01
To fill out the hnhb cardiac ct requisition:
02
Write the patient's full name, date of birth, and contact information at the top of the form.
03
Provide the patient's health card number and any other relevant identification numbers.
04
Specify the reason for the CT scan and provide any relevant medical history or symptoms.
05
Indicate the type of scan required (cardiac CT) and any specific instructions for the radiology department.
06
Provide the referring physician's name, contact information, and signature.
07
Ensure all sections of the requisition are complete and legible.
08
Submit the completed requisition to the appropriate department or healthcare facility.
Who needs hnhb cardiac ct requisition?
01
The hnhb cardiac ct requisition is needed for patients who require a cardiac CT scan.
02
This includes individuals who may have symptoms or risk factors for heart disease or other cardiac conditions.
03
It is typically requested by a referring physician or cardiologist.
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What is hnhb cardiac ct requisition?
The hnhb cardiac ct requisition is a request for a cardiac CT scan in the Hamilton Niagara Haldimand Brant region.
Who is required to file hnhb cardiac ct requisition?
Medical professionals such as physicians or specialists are required to file the hnhb cardiac ct requisition.
How to fill out hnhb cardiac ct requisition?
To fill out the hnhb cardiac ct requisition, the medical professional needs to provide patient information, reason for the request, and any relevant medical history.
What is the purpose of hnhb cardiac ct requisition?
The purpose of hnhb cardiac ct requisition is to request a cardiac CT scan for diagnostic purposes.
What information must be reported on hnhb cardiac ct requisition?
The hnhb cardiac ct requisition must include patient demographics, clinical information, and reason for the referral.
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