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Please use I.D. label or block premedical Imaging Request SACHS KimberleyLAST NAMUR / FIRST NAMEDOBGENDERADDRESSPOSTCODEREFERRERS PRACTICETELEPHONEPatients are free to choose their own imaging provider
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How to fill out medical imaging request wachs

01
Obtain the necessary medical imaging request form from the healthcare provider or facility.
02
Fill out the patient's personal information, including name, date of birth, and any relevant medical history.
03
Specify the type of imaging needed, such as X-ray, MRI, CT scan, or ultrasound.
04
Provide detailed information about the reason for the imaging request and any specific areas of concern.
05
Include any additional notes or instructions for the radiologist or healthcare provider.
06
Review the completed form for accuracy and ensure all required fields are filled out.
07
Submit the completed form to the healthcare provider or facility for processing and scheduling.

Who needs medical imaging request wachs?

01
Patients who require diagnostic imaging to investigate a medical condition or injury.
02
Healthcare providers who are ordering imaging studies to aid in diagnosis and treatment planning.
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Medical imaging request WACHS stands for Western Australia Country Health Service, which handles requests for medical imaging procedures in rural and remote areas of Western Australia.
Health care providers such as doctors, specialists, and medical facilities are required to file medical imaging request WACHS for their patients.
Health care providers can fill out the medical imaging request WACHS form online or submit it through the WACHS system electronically.
The purpose of medical imaging request WACHS is to request and schedule medical imaging procedures for patients in rural and remote areas of Western Australia.
Medical imaging request WACHS must include patient demographics, relevant medical history, reason for the imaging procedure, requested imaging modality, and referring health care provider information.
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