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X-Ray RADIOLOGY OUTPATIENT X-RAY REQUISITION MR MISS Surname MRS MS First name Permanent address Postal code Cell phone DOB Home phone Age Care Card Number (PhD) Fax to 604-806-8437 APPOINTMENT DATE:
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How to fill out x-ray - providence health

How to fill out x-ray - Providence Health:
01
Obtain the necessary forms: Start by obtaining the x-ray request form from your healthcare provider or the designated department at Providence Health. This form will typically require basic patient information such as name, date of birth, and contact details.
02
Provide medical history: On the x-ray request form or any additional forms provided, it is crucial to accurately and comprehensively fill out your medical history. This includes information about previous surgeries, known allergies, current medications, and any existing medical conditions that may be relevant to the x-ray procedure.
03
Review and sign consent forms: Informed consent is an essential part of any medical procedure, including x-rays. It is important to carefully read and understand the consent form before signing it. If you have any questions or concerns, do not hesitate to seek clarification from your healthcare provider.
04
Schedule an appointment: Contact the appropriate department at Providence Health or follow the instructions provided on the x-ray request form to schedule an appointment for your x-ray. Be sure to note any specific instructions such as fasting requirements or medication restrictions before the procedure.
05
Prepare for the x-ray: Depending on the type of x-ray you are having, there may be specific preparation instructions. These could include wearing loose clothing, removing jewelry or metal objects, or fasting for a certain period before the procedure. Make sure to follow these instructions carefully for the best possible results.
Who needs x-ray - Providence Health?
01
Patients with suspected fractures: X-rays are commonly used to diagnose fractures and evaluate the extent of the damage. If you have experienced acute pain, swelling, or deformity after an injury, your healthcare provider may refer you for an x-ray to accurately assess the condition of your bones.
02
Individuals with respiratory symptoms: X-rays can provide valuable information about the lungs and respiratory system. If you are experiencing persistent coughing, shortness of breath, or have a known respiratory condition, your healthcare provider may order a chest x-ray to investigate further.
03
Patients requiring diagnostic imaging: X-rays are a commonly used diagnostic tool in various medical specialties. Whether it is to examine the abdomen for possible organs, assess dental health, or investigate musculoskeletal issues, healthcare providers may order x-rays to help with the diagnosis and treatment of various conditions.
04
Individuals undergoing routine screenings: X-rays can also be part of routine screenings for certain conditions, particularly for specific populations or age groups. For example, women over the age of 40 may undergo regular mammograms, which are a form of x-ray used to detect breast abnormalities and possible signs of breast cancer.
05
Patients in need of monitoring or follow-up: X-rays can be used to monitor the progress of certain conditions or track the effectiveness of treatments. For instance, individuals with ongoing lung diseases may have periodic x-rays to evaluate any changes in their condition.
Please note that the specific criteria for ordering x-rays may vary depending on the healthcare provider, the patient's medical history, and the nature of the condition being evaluated. It is always best to consult with a healthcare professional to determine if an x-ray is necessary and how to proceed.
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