Get the free AIMSS DXA Referral Form (updated 181217 - 2) .docx

Hospital#........................................................................... Name:.................................................................................... BoneDensitometryReferralFormDOB:Level4,WesternCentreforHealthResearchandEducation SunshineHospital,176FurlongRoadStAlbansVIC3021. Phone:(03)83958270Pleasefaxreferralto(03)9923

How to fill out aimss dxa referral form

How to fill out aimss dxa referral form

1. To fill out the AIMSS DXA referral form, follow these steps:
2. Start by entering the patient's personal information such as name, date of birth, and contact details.
3. Provide the patient's medical history, including any relevant conditions or medications.
4. Indicate the reason for the DXA referral and any specific areas of concern.
5. Specify the preferred date and time for the DXA scan, if applicable.
6. Include any additional notes or instructions for the referring physician or radiology department.
7. Review the completed form for accuracy and make any necessary corrections.
8. Finally, sign and date the form before submitting it to the appropriate department or healthcare provider.

Who needs aimss dxa referral form?

1. The AIMSS DXA referral form is typically required for patients who require a dual-energy X-ray absorptiometry (DXA) scan. This type of scan is commonly used to measure bone density and diagnose or monitor conditions such as osteoporosis, osteopenia, or other bone disorders. It may be needed for individuals who are at increased risk of developing these conditions, such as postmenopausal women, older adults, individuals with certain medical conditions, or those taking certain medications known to impact bone health. A healthcare provider, usually a primary care physician or specialist, would determine if a DXA scan is necessary and complete the referral form accordingly.

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What is aimss dxa referral form?

The aimss dxa referral form is a document used to refer patients for Dual-energy X-ray Absorptiometry (DXA) scans to assess bone density.

Who is required to file aimss dxa referral form?

Healthcare providers, such as doctors or specialists, are required to file the aimss dxa referral form for patients who need DXA scans.

How to fill out aimss dxa referral form?

The aimss dxa referral form must be completed by providing patient information, medical history, reason for referral, and any other relevant details.

What is the purpose of aimss dxa referral form?

The purpose of the aimss dxa referral form is to facilitate the referral process for DXA scans and ensure that patients receive appropriate bone density assessments.

What information must be reported on aimss dxa referral form?

Patient demographics, medical history, referring physician information, reason for referral, and any additional notes or instructions must be reported on the aimss dxa referral form.