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PROVIDERS: Please fill out this form and fax it to (833) 2992501 before giving a copy to the patient. BRAIN IMAGING: EXAM: Brain SPENT (78803)PATIENT INFORMATION:INDICATION (Check all that apply):
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What is ordering provider general nuclear?
The ordering provider general nuclear is the healthcare provider who requests for nuclear medicine tests or procedures to be performed on a patient.
Who is required to file ordering provider general nuclear?
The ordering provider general nuclear is required to file the necessary paperwork and documentation for the nuclear medicine tests or procedures.
How to fill out ordering provider general nuclear?
The ordering provider general nuclear must fill out the required forms with all the necessary information about the patient and the requested nuclear medicine tests or procedures.
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The purpose of the ordering provider general nuclear is to ensure that the correct nuclear medicine tests or procedures are performed on the right patient.
What information must be reported on ordering provider general nuclear?
The ordering provider general nuclear must report information such as the patient's name, date of birth, medical history, and specific tests or procedures requested.
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