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Scarsdale Imaging, Inc.11034 Scarsdale Blvd, Ste A Houston, TX 77089 Phone: (281) 4811935 Fax: (281) 4811992Date: Physician: Patient Information:Name: (Hombre) (TN)Date of Birth: SS#: Phone Number:
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To fill out Scarsdale Imaging providing diagnostic imaging, follow these steps:
02
Visit the Scarsdale Imaging website or location.
03
Fill out the patient information section, including your full name, address, and contact information.
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Provide your insurance information, including the name of the insurance company and policy number.
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Specify the type of diagnostic imaging service you require, such as X-rays, MRI, CT scan, ultrasound, etc.
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If applicable, indicate any specific areas or body parts that need to be examined.
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Follow any additional instructions provided by Scarsdale Imaging, such as fasting requirements or medication restrictions before the procedure.
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Sign and date the form to authorize the diagnostic imaging service.
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Submit the completed form to Scarsdale Imaging either in person or through the provided online submission method.

Who needs scarsdale imagingproviding diagnostic imaging?

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Scarsdale Imaging providing diagnostic imaging is needed by individuals who require medical imaging services for diagnostic purposes. This can include:
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- Patients experiencing symptoms that require further investigation or evaluation.
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- Individuals with known medical conditions or injuries that necessitate imaging to monitor progress or plan treatment.
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- Healthcare professionals who need diagnostic imaging to aid in accurate diagnosis and treatment planning.
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- Individuals participating in medical research or clinical trials that require imaging assessments.
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- Individuals undergoing routine check-ups or screenings to assess their overall health and detect potential issues.
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It is always recommended to consult with a healthcare provider to determine if diagnostic imaging is necessary for a specific situation.
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Scarsdale Imaging provides diagnostic imaging services such as x-rays, MRIs, CT scans, and ultrasounds.
Healthcare facilities and providers who perform diagnostic imaging services are required to file.
Providers must submit the necessary information and images through the designated portal or software.
The purpose is to ensure accurate and timely diagnosis and treatment of medical conditions.
Information such as patient demographics, imaging modality used, date of service, and interpreting physician must be reported.
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