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PATIENT IDENTIFICATION Rename:Address:RADIOLOGY REQUISITION AND ORDERSCity/St./Zip
Telephone:
SSN:Fax Order to: (617) 2436776Central Scheduling hours: Monday to Friday 8.00am to 6.00pmDATE(617) 2436800Ordering
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How to fill out radiology requisition and orders

How to fill out radiology requisition and orders
01
Start by gathering all the necessary information for the radiology requisition and orders. This can include the patient's name, date of birth, medical history, and reason for the radiology procedure.
02
Next, identify the specific radiology procedure that needs to be performed. This could be an X-ray, MRI, CT scan, or any other type of imaging test.
03
Complete the requisition form by filling in the patient's information and the specific details of the radiology procedure. This may include the body part to be examined, any contrast agents to be used, and any special instructions or preferences from the referring physician.
04
Make sure to include any necessary clinical indications or diagnostic questions that the radiologist should consider while interpreting the results.
05
If additional orders are needed, such as specific views or additional imaging modalities, clearly indicate them on the requisition form.
06
Double-check the form for accuracy and completeness, ensuring that all required fields are filled out correctly.
07
Once the requisition and orders are filled out, submit them to the appropriate radiology department or facility.
08
Keep a copy of the completed requisition and orders for reference and follow-up.
Who needs radiology requisition and orders?
01
Radiology requisition and orders are needed by healthcare professionals who want to request or order imaging tests for their patients. This includes physicians, surgeons, specialists, and other healthcare providers who require diagnostic information or monitoring through radiology procedures.
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What is radiology requisition and orders?
Radiology requisition and orders are formal documents used by healthcare providers to request imaging studies or procedures for patients.
Who is required to file radiology requisition and orders?
Healthcare providers, including physicians, nurse practitioners, and physician assistants, are required to file radiology requisition and orders.
How to fill out radiology requisition and orders?
To fill out a radiology requisition and orders, the provider must include patient information, details of the requested imaging study, clinical indications, and any specific instructions.
What is the purpose of radiology requisition and orders?
The purpose of radiology requisition and orders is to communicate the necessity for imaging studies to radiologists and ensure that appropriate procedures are performed.
What information must be reported on radiology requisition and orders?
The information that must be reported includes patient demographics, ordering physician details, type of exam requested, clinical history, and any relevant medical records.
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