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Gorilla Soldiers Memorial Hospital170 Colborne St. West, Gorilla, ON L3V 2Z3 Tel: 7053279127 Fax: 7053303224Request for Ultrasound Examination
(By Appointment Only)PATIENT INFORMATION
INPATIENT
NO.OUTPATIENTAPPOINTMENT
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How to fill out request for ultrasound examination

How to fill out request for ultrasound examination
01
Step 1: Contact your doctor or healthcare provider to discuss why you need an ultrasound examination.
02
Step 2: Schedule an appointment with a radiology clinic or hospital that provides ultrasound services.
03
Step 3: Gather any relevant medical records or previous test results that may be needed for the examination.
04
Step 4: On the day of the examination, arrive at the clinic or hospital on time.
05
Step 5: Follow any preparation instructions given by the healthcare provider, such as fasting before the examination.
06
Step 6: Fill out the request form for the ultrasound examination. Provide accurate personal information, medical history, and reasons for the examination.
07
Step 7: Submit the completed request form to the clinic or hospital staff.
08
Step 8: Wait for your turn to undergo the ultrasound examination.
09
Step 9: Follow any post-examination instructions provided by the healthcare provider.
10
Step 10: Receive the results of the ultrasound examination from your doctor or healthcare provider.
Who needs request for ultrasound examination?
01
Individuals who are experiencing symptoms or conditions that require further evaluation or imaging.
02
Pregnant women for prenatal care and monitoring of fetal development.
03
Individuals with suspected abnormalities or diseases of organs and tissues that can be detected through ultrasound imaging.
04
Patients who need guidance for certain medical procedures, such as needle biopsy or fluid aspiration.
05
Anyone recommended by their doctor or healthcare provider based on their medical history and symptoms.
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