UW Medicine Radiology Order Form 2020-2025 free printable template
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RADIOLOGY ORDER FORM SCHEDULING PHONE 206-598-7200 SCHEDULING FAX 206-597-4004 RAD CONSULT LINE 206-598-0101 UW RADIOLOGY RECORDS Tel 206-598-6206 Fax 206-598-7690 NW RADIOLOGY RECORDS Tel 206-668-1748 Fax 206-688-1398 UW Medical Center - Montlake 1959 NE Pacific Street Seattle WA 98195 UW Medicine Roosevelt Clinic 4245 Roosevelt Way NE Seattle WA 98105 2nd Floor Radiology Front Desk 206-598-6200 UW Medicine Eastside Specialty Center 3100 Northup Way Bellevue WA 98004 ESC Front Desk...
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How to fill out UW Medicine Radiology Order Form
01
Obtain a copy of the UW Medicine Radiology Order Form.
02
Fill in the patient's full name and date of birth in the designated fields.
03
Provide the physician's name and contact information.
04
Indicate the type of radiology exam required (e.g., X-ray, MRI, CT scan).
05
Specify the reason for the exam to ensure appropriate justification.
06
Include any relevant clinical information that will aid in the radiology interpretation.
07
Check for any allergies or previous imaging studies related to the patient.
08
Sign and date the form before submission.
09
Submit the completed form to the radiology department, either electronically or via fax.
Who needs UW Medicine Radiology Order Form?
01
Patients referred for imaging studies by a physician.
02
Physicians who need to document and order specific radiology examinations for their patients.
03
Healthcare providers involved in the patient's care requiring imaging results.
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What is UW Medicine Radiology Order Form?
The UW Medicine Radiology Order Form is a document used by healthcare providers to request radiology services for patients within the UW Medicine health system.
Who is required to file UW Medicine Radiology Order Form?
Healthcare providers, including physicians and specialists, who need to order radiology services for their patients are required to file the UW Medicine Radiology Order Form.
How to fill out UW Medicine Radiology Order Form?
To fill out the UW Medicine Radiology Order Form, providers should enter patient information, specify the type of radiology exam requested, include relevant clinical information, and provide their contact details.
What is the purpose of UW Medicine Radiology Order Form?
The purpose of the UW Medicine Radiology Order Form is to standardize and streamline the process of ordering radiology services, ensuring that necessary information is provided for accurate and timely patient care.
What information must be reported on UW Medicine Radiology Order Form?
The information that must be reported on the UW Medicine Radiology Order Form includes patient demographics, the specific radiology exam requested, clinical history, and the provider's contact information.
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