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STAFF REPORT TO THE PUBLIC HEALTH COUNCIL FOR A DETERMINATION OF NEED Shields PET CT at Applicant Name Heywood Healthcare, LLC 700 Congress Street, Suite 204 Applicant Address Quincy, MA 02169 Filing

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How to fill out wwwmassgovdocshields-pet-ct-at-heywoodshields pet-ct at heywood

01

Visit the website www.mass.gov/docs/hospitalname/pet-ct-at-heywood.

02

Scroll down the page until you see the section 'Patient Forms'.

03

Click on the 'Shields PET/CT at Heywood' link to open the form.

04

Review the form instructions and guidelines provided.

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Fill out the form by providing all the required information, such as personal details, medical history, and insurance information.

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Once the form is completely filled out, sign and date it.

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If applicable, gather any supporting documents or medical records requested in the form.

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Submit the form and any accompanying documents as instructed on the website or by contacting the hospital directly.

Who needs wwwmassgovdocshields-pet-ct-at-heywoodshields pet-ct at heywood?

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Individuals who require or have been advised to undergo a PET/CT scan at Heywood Hospital.

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What is wwwmassgovdocshields-pet-ct-at-heywoodshields pet-ct at heywood?

The shield's PET-CT at Heywood is a medical imaging procedure that combines positron emission tomography (PET) and computed tomography (CT) scans.

Who is required to file wwwmassgovdocshields-pet-ct-at-heywoodshields pet-ct at heywood?

Patients who are scheduled for a shield's PET-CT at Heywood are required to fill out the necessary forms.

How to fill out wwwmassgovdocshields-pet-ct-at-heywoodshields pet-ct at heywood?

Patients can fill out the shield's PET-CT forms by providing their personal and medical information, as well as any relevant insurance details.

What is the purpose of wwwmassgovdocshields-pet-ct-at-heywoodshields pet-ct at heywood?

The purpose of shield's PET-CT at Heywood is to help diagnose and monitor various medical conditions, such as cancer.

What information must be reported on wwwmassgovdocshields-pet-ct-at-heywoodshields pet-ct at heywood?

Medical history, current medications, allergies, and any existing medical conditions must be reported on the shield's PET-CT forms.

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