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McGillUniversityFacultyofDentistry 752SherbrookeStreetW,Montreal,QCH3A1G1 Phone:5143983155Email:clinic.dentistry McGill.caRequisitionforMaxillofacialImaging Pleasesendthisformtousbyemailattheaddressabove.
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How to fill out mcgill radiology requisition form

01
Obtain the McGill Radiology Requisition Form from the relevant department or medical facility.
02
Fill in the patient's personal information, including their full name, date of birth, and contact details.
03
Provide the referring physician's information, such as their name, address, and contact number.
04
Indicate the requested radiology procedure or test by checking the appropriate box or providing specific details.
05
Include any relevant clinical history or indication for the requested radiology service.
06
Ensure that all required sections of the form are completed accurately and legibly.
07
Review the filled form for any errors or missing information before submission.
08
Submit the completed McGill Radiology Requisition Form to the designated department or medical facility.

Who needs mcgill radiology requisition form?

01
Medical professionals who require radiology services for their patients at McGill or affiliated medical facilities.
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The McGill Radiology Requisition Form is a document used to request radiological imaging services at McGill University Health Centre.
Healthcare providers, such as physicians and specialists, are required to file the McGill Radiology Requisition Form on behalf of their patients.
To fill out the McGill Radiology Requisition Form, healthcare providers must provide patient information, select the required imaging procedure, and include any pertinent medical history or special instructions.
The purpose of the McGill Radiology Requisition Form is to ensure that necessary radiological services are properly requested and documented for patient care.
The information that must be reported includes patient demographics, referring physician's details, type of imaging requested, clinical indication, and any additional notes relevant to the imaging.
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