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TO BOOK AN APPOINTMENT: Phone: 7054345133 Fax: 7054345111 Please bring a copy of the requisition with you to your appointment200 Fletcher Crescent, Allison, Ontario L9R 1W7APPOINTMENT DATE AND TIME:
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To fill out the www.stevensonhospital.ca/files/mammography-requisition-02, follow these steps:
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Start by entering the patient's personal information, including their name, date of birth, and contact details.
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Provide the necessary medical information, such as the referring physician's name, contact information, and reason for ordering the mammography.
04
Specify any relevant medical history or pre-existing conditions that may affect the mammography procedure or interpretation of the results.
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Indicate the type of mammography requested, such as screening mammography or diagnostic mammography.
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Select the desired imaging options, such as bilateral or unilateral mammogram, additional views, or special imaging techniques.
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If applicable, include any additional comments or special requirements for the radiologist or technologist conducting the mammography.
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Review the completed requisition form for accuracy and completeness.
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Sign and date the form to validate the request.
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Submit the filled out mammography requisition to the appropriate healthcare provider or imaging facility.

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The www.stevensonhospital.ca/files/mammography-requisition-02 is typically required for individuals who need to undergo mammography.
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- Women who are due for routine breast cancer screening.
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- Individuals with a personal or family history of breast cancer or other breast conditions, requiring regular monitoring or surveillance.
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- Those who have received abnormal results from previous breast imaging tests and require follow-up examinations.
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Having a completed mammography requisition helps healthcare providers ensure that the appropriate mammography procedure is performed and the results are interpreted accurately.
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The www.stevensonhospital.ca/files/mammography requisition-02mammography requisition is a form used to request a mammography procedure at Stevenson Hospital.
Medical professionals such as doctors and specialists are required to file the www.stevensonhospital.ca/files/mammography requisition-02mammography requisition for their patients.
The www.stevensonhospital.ca/files/mammography requisition-02mammography requisition form must be filled out with the patient's information, reason for the mammography, and any other relevant details.
The purpose of the www.stevensonhospital.ca/files/mammography requisition-02mammography requisition is to request a mammography procedure for a patient.
The www.stevensonhospital.ca/files/mammography requisition-02mammography requisition must include the patient's name, date of birth, contact information, reason for the mammography, and any relevant medical history.
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