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PET/CT REQUEST FORM Fax to Central Scheduling: 802.776.3301 Central Scheduling: 8027471880PATIENT INFORMATION:(Note: 48 hours required for appointment cancellations, 7471880)Patient Name: Medical
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How to fill out fax to central scheduling
How to fill out fax to central scheduling
01
Start by writing the date on the top left corner of the fax.
02
In the next line, write the name of the recipient (central scheduling).
03
Write the fax number of central scheduling below the recipient's name.
04
If required, add a subject line that briefly describes the purpose of the fax.
05
Write your own name, contact number, and address as the sender in the next section.
06
Below your contact information, include any additional instructions or notes.
07
Attach any relevant documents that need to be sent along with the fax.
08
Review the filled-out fax form for accuracy and completeness.
09
Finally, hit the 'Send' button on the fax machine or use an online fax service to transmit the fax to central scheduling.
Who needs fax to central scheduling?
01
Healthcare facilities that require scheduling services for various departments often need to send faxes to central scheduling. This can include hospitals, clinics, diagnostic centers, and specialized healthcare practices.
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What is fax to central scheduling?
Fax to central scheduling is a document used to request central scheduling services for appointments or consultations.
Who is required to file fax to central scheduling?
Healthcare providers or their staff members are required to file fax to central scheduling.
How to fill out fax to central scheduling?
Fill out the required fields on the fax form, including patient information, appointment details, and any specific requests or notes.
What is the purpose of fax to central scheduling?
The purpose of fax to central scheduling is to streamline the process of scheduling appointments or consultations with centralized scheduling services.
What information must be reported on fax to central scheduling?
Patient demographics, reason for appointment or consultation, preferred date and time, referring physician information, and any special requests or instructions.
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