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Nuclear Cardiology Requisition Medical Imaging Department 30 Bond Street, Toronto, ON, M5B 1W8 3rd Floor Cardinal Carder Biomedical IMAGING USE ONLY Exam Date : YYY / mm / dd Exam Time : Next AvailableFunctional

How to fill out nuclear cardiology requisition

How to fill out nuclear cardiology requisition

1. Start by writing the patient's personal information, including their name, date of birth, and contact details.
2. Specify the reason for the nuclear cardiology requisition, such as suspected heart disease or evaluation of treatment effectiveness.
3. Provide the relevant medical history of the patient, including any known allergies, previous surgeries, or existing medical conditions.
4. Indicate the specific tests or procedures that are required for the patient's evaluation, such as cardiac stress tests, myocardial perfusion scans, or PET scans.
5. Include any additional instructions or preferences for the test, such as fasting requirements or medication restrictions.
6. Mention the desired date and time for the procedure, if applicable.
7. Provide the ordering physician's information, including their name, contact details, and professional credentials.
8. Make sure to sign and date the requisition form before submitting it to the appropriate department or imaging center.
9. Keep a copy of the completed requisition for your own records.

Who needs nuclear cardiology requisition?

1. Patients who may benefit from nuclear cardiology testing require a nuclear cardiology requisition.
2. Individuals with suspected heart diseases, such as coronary artery disease, valvular heart disease, or heart failure, may need a nuclear cardiology requisition for further evaluation.
3. Patients who have undergone previous cardiac procedures, such as stent placement or bypass surgery, may require a nuclear cardiology requisition to assess treatment effectiveness or detect any potential complications.
4. Individuals with symptoms of heart disease, such as chest pain, shortness of breath, or palpitations, may need a nuclear cardiology requisition to evaluate the extent and severity of their condition.
5. Patients who are being monitored or treated for existing cardiovascular conditions, such as arrhythmias or hypertension, may require a nuclear cardiology requisition as part of their ongoing care.
6. It is ultimately the physician's discretion to determine who specifically needs a nuclear cardiology requisition based on the patient's medical history, symptoms, and risk factors.

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What is nuclear cardiology requisition?

A nuclear cardiology requisition is a formal request for a nuclear imaging procedure used to evaluate the heart's function and blood flow.

Who is required to file nuclear cardiology requisition?

Healthcare providers, typically cardiologists or referring physicians, are required to file nuclear cardiology requisitions for their patients.

How to fill out nuclear cardiology requisition?

To fill out a nuclear cardiology requisition, the provider must provide patient information, clinical history, specific tests requested, and any other relevant medical details.

What is the purpose of nuclear cardiology requisition?

The purpose of a nuclear cardiology requisition is to authorize and detail the nuclear imaging procedures needed to assess cardiac conditions.

What information must be reported on nuclear cardiology requisition?

Information that must be reported includes patient demographics, clinical indication, specific tests requested, and physician's information.