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Radiology Department Request Form Name: Date: Urgent: Room: Do Today: Physician: Phone: AppointmentAddress: Clinic Data: Diagnosis: Appointment Date: Time: Examination Requested: Ray Skull Sell Turkic
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The radiology dept request form is a document used to request radiology services such as X-rays, MRIs, and CT scans.
Medical professionals such as doctors, nurses, and technicians are required to file the radiology dept request form when ordering imaging procedures for patients.
The radiology dept request form can be filled out by providing patient information, the type of imaging needed, and any relevant medical history.
The purpose of the radiology dept request form is to ensure that the correct imaging procedures are ordered for patients and that the necessary information is provided to the radiology department.
Information such as patient name, date of birth, referring physician, type of imaging needed, and any relevant medical history must be reported on the radiology dept request form.
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