Get the free OHSU IR Referral Form.docx

Legacy Health System INTERVENTIONAL RADIOLOGY REFERRAL FORM Phone: (503) 4134330 Fax: (503) 4134349Preferred Hospital Location: Legacy Emanuel Medical Center/Randall Children's Hospital Legacy Good

How to fill out ohsu ir referral formdocx

How to fill out ohsu ir referral formdocx

1. To fill out the OHSU IR referral form.docx, follow these steps:
2. Open the document in a compatible word processing software, such as Microsoft Word.
3. Begin by entering the patient's personal information, including their name, date of birth, and contact details.
4. Fill in the referring physician's information, including their name, specialty, and contact information.
5. Provide relevant clinical details about the patient's condition, including any pertinent medical history, symptoms, and diagnosis.
6. Indicate the reason for the referral and specify the services or procedures requested.
7. If necessary, include any additional supporting documents or reports that may be relevant to the referral.
8. Review the completed form for accuracy and make any necessary revisions.
9. Save the filled out form to your computer or print it out for submission.
10. Submit the completed OHSU IR referral form to the appropriate department or personnel at OHSU for further processing.

Who needs ohsu ir referral formdocx?

1. The OHSU IR referral form.docx is needed by healthcare professionals who wish to refer a patient to the Interventional Radiology (IR) department at OHSU.
2. This form is typically used by referring physicians, such as primary care physicians, specialists, or other healthcare providers, who require interventional radiology services for their patients.
3. The form allows these healthcare professionals to communicate the necessary clinical information and request specific procedures or services from the IR department.

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What is ohsu ir referral formdocx?

The ohsu ir referral formdocx is a document used to refer cases to the Institutional Review Board at Oregon Health & Science University.

Who is required to file ohsu ir referral formdocx?

Researchers conducting studies involving human subjects are required to file the ohsu ir referral formdocx.

How to fill out ohsu ir referral formdocx?

The ohsu ir referral formdocx can be filled out online or submitted in person at the IRB office.

What is the purpose of ohsu ir referral formdocx?

The purpose of the ohsu ir referral formdocx is to ensure that research involving human subjects is conducted ethically and in compliance with regulations.

What information must be reported on ohsu ir referral formdocx?

The ohsu ir referral formdocx must include details about the study protocol, risks and benefits to participants, and informed consent procedures.