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Suite 100, 3001 Gordon Avenue Coquitlam, British Columbia V3C 2K7Bone Densitometry RequisitionYour Appointment is:tel 604.941.7611 fax 604.942.4612 www.medrayimaging.comPatient:Birth date:Address:Patient
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How to fill out medray bone density requisition

01
Obtain a medray bone density requisition form from a healthcare provider.
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Fill out the patient's personal information, including name, date of birth, and contact details.
03
Provide the necessary medical history, such as any previous fractures or relevant medical conditions.
04
Indicate the reason for the bone density test, whether it is for osteoporosis screening, monitoring treatment, or other concerns.
05
Include any additional instructions or notes for the healthcare provider.
06
Sign and date the requisition form.
07
Make a copy of the completed form for your records.
08
Submit the filled-out medray bone density requisition form to a diagnostics center or laboratory as instructed by your healthcare provider.

Who needs medray bone density requisition?

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Individuals who may need a medray bone density requisition include:
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- Postmenopausal women
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- Individuals with risk factors for osteoporosis, such as a family history of fractures, low body weight, or a sedentary lifestyle
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- Patients undergoing long-term steroid therapy
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- Men over the age of 70
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- Individuals who have experienced a fracture due to minimal trauma
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- Those with certain medical conditions, such as rheumatoid arthritis or hyperthyroidism
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- Individuals being monitored for the effectiveness of osteoporosis treatment
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Medray bone density requisition is a form used to request a bone density test to assess the strength and health of a person's bones.
Healthcare providers such as doctors, nurses, or specialists are required to fill out and file the medray bone density requisition form.
To fill out a medray bone density requisition, healthcare providers must provide the patient's information, reason for the test, and any relevant medical history.
The purpose of medray bone density requisition is to assess the risk of fractures and diagnose conditions such as osteoporosis.
Information such as patient's name, date of birth, medical history, reason for test, and referring healthcare provider must be reported on the medray bone density requisition.
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