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RADIOLOGY RESEARCH IMAGE TRANSFER REQUEST FORM Date:IRB #:Requestor's Name: PI:Requestor's Telephone: UAB Oracle Account Number:Requestor's UAB Address: Study Title:Requestor's Email: Return To (Name
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How to fill out radiology image transfer request

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How to fill out radiology image transfer request

01
To fill out a radiology image transfer request, follow these steps:
02
Start by filling out your personal information, such as your name, date of birth, and contact information.
03
Provide details about the images you want to transfer, such as the type of images (X-ray, MRI, CT scan, etc.) and the specific body part or area being imaged.
04
Indicate whether the transfer is for personal use or for medical purposes. If it is for medical purposes, you may need to provide additional information about the healthcare provider or facility that requires the images.
05
Specify the preferred method of transfer, such as through a CD, DVD, or online file sharing platform. If you prefer a physical copy, include your mailing address.
06
If there are any special requests or instructions, make sure to include them in the request form.
07
Review the completed form for accuracy and completeness before submitting it to the appropriate department or contact person.
08
Wait for confirmation or further instructions regarding the image transfer.
09
Note: The specific steps and requirements may vary depending on the healthcare facility or institution. It is always best to check with your healthcare provider for their specific instructions and procedures.

Who needs radiology image transfer request?

01
Radiology image transfer requests are typically needed by individuals who require their medical images to be shared with another healthcare provider or facility.
02
Common examples of individuals who may need radiology image transfer requests include:
03
- Patients who are seeking a second opinion or transferring their care to another healthcare provider
04
- Patients who are moving or traveling and need their medical images to be accessible at their new location
05
- Researchers or scientists who require access to medical images for their studies or research
06
- Legal professionals involved in medical malpractice or personal injury cases who need the images for evidence
07
Ultimately, anyone who needs to share or transfer their radiology images for medical, personal, or legal reasons may need to complete a radiology image transfer request.

What is RADIOLOGY IMAGE TRANSFER REQUEST - UAB Form?

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A radiology image transfer request is a formal request made to transfer radiological images from one healthcare facility to another for the purpose of diagnosis, treatment, or follow-up care.
Typically, healthcare providers, hospitals, and imaging centers are required to file radiology image transfer requests on behalf of patients who need their radiological images transferred.
To fill out a radiology image transfer request, the requester must provide patient information, details of the images being requested, and include relevant medical history or information required for proper transfer.
The purpose of a radiology image transfer request is to facilitate the timely sharing of medical imaging data between healthcare providers to ensure continuous patient care and accurate diagnosis.
The radiology image transfer request must report patient demographics, imaging modalities, a specific list of images or studies to be transferred, and contact information for both the sending and receiving facilities.
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