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Inpatient Radiation Therapy Notification Form This form should be completed if your patient began radiation therapy as an inpatient and continued treatment as an outpatient. Subsequent outpatient
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Inpatient radiation therapy notification is a form that must be filled out to notify the proper authorities about the radiation therapy being provided to a patient while they are admitted to a healthcare facility.
Healthcare facilities and providers who offer inpatient radiation therapy services are required to file the notification form.
The form can typically be filled out electronically or on paper, and must include information about the patient, the type of radiation therapy being administered, and the healthcare facility providing the treatment.
The purpose of the notification is to ensure that proper records are kept of radiation therapy treatments provided to patients, and to monitor radiation exposure levels for safety purposes.
Information such as patient demographics, type of radiation therapy, dosage, dates of treatment, and healthcare provider information must be reported on the form.
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