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INTERVENTIONAL RADIOLOGY REQUEST Department of Imaging Services Royal Victoria Regional Health Center 201 Georgian Drive Barrie, Ontario L4M 6M2 Tel. (705) 7395610 Fax. (705) 7395649PROCEDUREPATIENT
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How to fill out interventional radiology request
How to fill out interventional radiology request
01
Obtain the patient's demographic information including name, date of birth, and medical record number.
02
Specify the reason for the interventional radiology request and provide relevant clinical history.
03
Include any relevant imaging studies or laboratory results that support the need for the procedure.
04
Clearly indicate the type of procedure requested and any specific preferences or contraindications.
05
Ensure the request is signed by a qualified healthcare provider and include their contact information for follow-up.
Who needs interventional radiology request?
01
Patients who require minimally invasive procedures for diagnostic or therapeutic purposes.
02
Healthcare providers who believe that an interventional radiology procedure would benefit their patient.
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What is interventional radiology request?
Interventional radiology request is a form or document requesting a radiology procedure to be performed by an interventional radiologist.
Who is required to file interventional radiology request?
Typically, healthcare providers such as physicians or surgeons are required to file interventional radiology requests for their patients.
How to fill out interventional radiology request?
Interventional radiology requests are typically filled out by providing patient information, specific procedure requested, medical history, and any relevant clinical information.
What is the purpose of interventional radiology request?
The purpose of interventional radiology request is to request a minimally invasive procedure using imaging guidance to diagnose or treat various conditions.
What information must be reported on interventional radiology request?
Information such as patient demographics, medical history, reason for the procedure, specific procedure requested, and any relevant clinical information must be reported on an interventional radiology request.
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