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Bellevue Women's Imaging, PLLCOffice Hours: MF 7am8pm 1400 116th Ave NE Bellevue, WA. 98004Sat 8am3pm Phone 4254541700 Fax 4254540600 www.bmirad.comSee exam preparations, map and directions on back.
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How to fill out bellevue womens imaging referral

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How to fill out bellevue womens imaging referral

01
Contact Bellevue Women's Imaging to request a referral form.
02
Provide your personal information, including your name, contact details, and any relevant medical history.
03
Specify the reason for the referral and the type of imaging or test you require.
04
If you have insurance, provide your insurance information.
05
After completing the form, submit it to Bellevue Women's Imaging either by email, fax, or in person.
06
Once the referral is reviewed and approved, you will be contacted to schedule an appointment for the imaging or test.

Who needs bellevue womens imaging referral?

01
Anyone who needs women's imaging services in Bellevue should obtain a referral. This may include women who require mammograms, ultrasounds, MRIs, or other diagnostic imaging procedures to assess their breast health or reproductive system. It is common for primary care physicians or gynecologists to provide referrals for these services.

What is Bellevue Womens Imaging Referral Form?

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Bellevue Women's Imaging Referral is a document or process designed for patients to obtain imaging services related to women's health, such as mammograms or ultrasounds, within the Bellevue healthcare system.
Typically, healthcare providers, such as doctors or specialists, are required to file the Bellevue Women's Imaging Referral on behalf of their patients.
To fill out the Bellevue Women's Imaging Referral, a healthcare provider needs to provide patient information, the type of imaging required, medical history, and any additional notes or instructions relevant to the imaging purpose.
The purpose of the Bellevue Women's Imaging Referral is to authorize and guide patients through the necessary imaging procedures, ensuring they receive appropriate screenings and diagnostic services.
The information that must be reported includes patient demographics, the referring physician's information, the specific imaging requested, medical history, and any relevant clinical notes.
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