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Women's Imaging Center Referral Form 5173534920 (Ext 2) Fax 5178840000 www.rad.msu.edu Tax ID 832236308 NPI 1275165052Eyde Building, Ste 600 (6th Floor) 4660 S. Hag adorn Rd, East Lansing, MI 48823Patient
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Provide any necessary medical history or previous imaging records if requested.
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Complete the sections or checkboxes related to the specific imaging services required.
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The PDF Women's Imaging Center refers to a facility that specializes in providing imaging services for women's health, such as mammograms, ultrasounds, and other diagnostic imaging tailored to women's needs.
Typically, healthcare providers, institutions, or organizations that perform women's imaging services are required to file relevant documentation with the PDF Women's Imaging Center.
To fill out the PDF Women's Imaging Center form, users must provide accurate patient information, details of the imaging services performed, and any necessary medical history as required by the form's guidelines.
The purpose of the PDF Women's Imaging Center is to ensure effective tracking and reporting of women's health imaging services, aiding in quality control, compliance, and improving healthcare outcomes for women.
Information that must be reported can include patient demographics, type of imaging performed, dates of service, results, and any follow-up actions or recommendations.
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