Get the free PET-CT OrderMercy Health Saint Mary's. Radiology

Mercy Health Saint Mary's Radiology Request form for scheduling PET CT scans Ct)MERCYHEALTHPatient Name Date exam needed: DOB Gender Weight lbs Patient's Phone Physician Office scheduler name: Phone

How to fill out pet-ct ordermercy health saint

How to fill out pet-ct ordermercy health saint

1. Start by obtaining the required PET-CT order form from Mercy Health Saint.
2. Fill out the patient information section accurately, including the full name, date of birth, and address of the patient.
3. Provide the referring physician's details, such as name, contact information, and NPI number.
4. Indicate the reason for the PET-CT exam by selecting the appropriate checkbox or providing a brief explanation.
5. Specify any relevant clinical details or additional information in the designated section.
6. If applicable, include any relevant patient history, such as previous imaging studies or relevant medical conditions.
7. If there are any specific instructions or requests from the referring physician, ensure to note them clearly.
8. Review the completed form for accuracy and completeness before submitting it to Mercy Health Saint.
9. Submit the filled-out PET-CT order form to the appropriate department or personnel at Mercy Health Saint.
10. Follow any additional instructions provided by Mercy Health Saint for scheduling and preparation for the PET-CT exam.

Who needs pet-ct ordermercy health saint?

1. Patients who require PET-CT scans for diagnostic or monitoring purposes may need to fill out a PET-CT order form at Mercy Health Saint. This includes individuals who have been referred by physicians or healthcare providers to undergo PET-CT imaging to aid in the diagnosis or treatment planning for various conditions. The specific criteria for who needs a PET-CT order may vary depending on the clinical protocols and guidelines followed by Mercy Health Saint.

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What is pet-ct ordermercy health saint?

PET-CT order Mercy Health Saint is a diagnostic test order form used by Mercy Health Saint to request a PET-CT scan for a patient.

Who is required to file pet-ct ordermercy health saint?

Healthcare providers, such as physicians or nurse practitioners, are required to fill out and file the PET-CT order form at Mercy Health Saint.

How to fill out pet-ct ordermercy health saint?

To fill out the PET-CT order form, healthcare providers need to provide patient information, clinical details, reason for the scan, and any relevant medical history.

What is the purpose of pet-ct ordermercy health saint?

The purpose of the PET-CT order form at Mercy Health Saint is to request a PET-CT scan for a patient in order to aid in diagnosis and treatment planning.

What information must be reported on pet-ct ordermercy health saint?

The PET-CT order form requires information such as patient demographics, clinical indication for the scan, relevant medical history, referring provider information, and insurance details.