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SWEDISH MEDICAL IMAGING SWEDISH FIRST HILL IMAGING REQUISITION FORM Today's date: Phone: 2063863990 Fax: 2062153035 747 Broadway, 4 East, Seattle, WA 98122Patient information: (All fields are required)
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To fill out Swedish First Hill Imaging, follow these steps:
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Start by providing your personal information, including your name, contact details, and date of birth.
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Next, answer the questions related to your medical history, including any previous surgeries, allergies, or medical conditions.
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Specify the reason for the imaging test and provide any relevant symptoms or concerns.
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If you have any current medications, mention them along with the dosage and frequency.
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If you have any specific instructions from your doctor or radiologist, make sure to include them.
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Note: It is recommended to consult with a healthcare professional for specific instructions based on your situation.

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Swedish First Hill Imaging may be required for individuals who:
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- Need diagnostic imaging services such as X-rays, CT scans, MRI scans, or ultrasounds.
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- Experience symptoms that require imaging to aid in diagnosis or treatment planning.
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- Are scheduled for a specific procedure that requires pre-operative imaging.
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Remember, the decision to undergo Swedish First Hill Imaging should be made in consultation with a healthcare professional.
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Swedish First Hill Imaging is a medical facility that provides imaging services such as MRI, CT scans, and X-rays.
Patients who have been referred for imaging services at Swedish First Hill Imaging are required to have their information filed.
Patients can fill out the necessary forms at the facility or online through the patient portal.
The purpose of Swedish First Hill Imaging is to provide diagnostic imaging services to help healthcare professionals diagnose and treat medical conditions.
Patient demographics, referring physician information, medical history, and the type of imaging being performed must be reported on Swedish First Hill Imaging forms.
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