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ADVANTAGE RADIOLOGY SERVICE (419) 2692424(844) 2834163 PATIENT CLINIC FILM DATE AGE SEX M F SOCIAL SECURITY# / / DATE OF BIRTH PATIENT ADDRESS CITY STATE ZIP RAY ASSIGNMENT AGREEMENT I understand
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Begin by gathering the necessary information, such as the patient's personal details, insurance information, and medical history.
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Diagnostic imaging services at Grande Ronde refer to the medical imaging procedures offered to diagnose and monitor health conditions, utilizing technologies such as X-rays, MRIs, CT scans, and ultrasound.
Healthcare providers and facilities that perform diagnostic imaging services must file diagnostic imaging services at Grande Ronde, ensuring compliance with local health regulations.
To fill out diagnostic imaging services Grande Ronde, providers should complete the designated forms available from Grande Ronde, providing accurate patient information, details of the imaging services rendered, and any necessary supporting documentation.
The purpose of diagnostic imaging services at Grande Ronde is to assist in the accurate diagnosis and treatment of medical conditions through advanced imaging techniques, thereby improving patient care and outcomes.
Information that must be reported includes patient identification details, the type of imaging services performed, dates of procedures, referring physician information, and findings from the imaging studies.
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