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Attachments MenuPERSONNEL ACTION For use of this form, see PAM 6008; the proponent agency is DCS, G1. DATA REQUIRED BY THE PRIVACY ACT OF 1974 Title 10, USC, Section 3013, E.O. 9397 (SSN), as amended
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How to fill out ohsu imaging order form

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How to fill out ohsu imaging order form

01
To fill out the OHSU Imaging Order Form, follow these steps:
02
Start by entering the patient's personal information, such as their name, date of birth, and contact details.
03
Specify the referring physician who is requesting the imaging study.
04
Indicate the type of imaging study being ordered, such as an X-ray, MRI, CT scan, etc.
05
Provide any relevant clinical information that might assist the radiologist in interpreting the results.
06
Include any special instructions or considerations for the imaging study, if applicable.
07
Make sure to sign and date the form to authenticate it.
08
Double-check all the entered information for accuracy and completeness before submitting the form.
09
Once the form is complete, submit it to the appropriate department or facility for scheduling the imaging study.

Who needs ohsu imaging order form?

01
The OHSU Imaging Order Form is required for any patient who needs to undergo a medical imaging study at OHSU (Oregon Health & Science University). This may include individuals referred by their primary care physicians, specialists, or other healthcare providers.
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The OHSU imaging order form is a document used to request imaging services at Oregon Health & Science University.
Healthcare providers, physicians, or clinicians who are requesting imaging services at OHSU are required to file the imaging order form.
The OHSU imaging order form can be filled out electronically or manually by providing patient information, ordering provider details, requested imaging services, and patient consent.
The purpose of the OHSU imaging order form is to ensure accurate and timely imaging services are provided to patients at OHSU.
The imaging order form must include patient demographics, clinical history, ordering provider information, requested imaging procedure, and any relevant clinical notes.
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