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GENERAL RADIOLOGY BMD FLOOR REQUISITION PLEASE FAX COMPLETED REQ TO 6133458324 Phone # 6133455649 Ext: 1114Last Name: ___ First Name: ___ Date of Birth: ___ Address: ___ City: ___ Postal Code: ___
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How to fill out bone mineral density requisition
How to fill out bone mineral density requisition
01
Obtain the bone mineral density requisition form from your healthcare provider.
02
Fill out your personal information including name, date of birth, and contact information.
03
Provide details of your medical history such as previous fractures, family history of osteoporosis, and current medications.
04
Make sure to indicate the reason for the bone mineral density test and any specific concerns or symptoms you may have.
05
Follow any additional instructions provided by your healthcare provider, such as fasting requirements or medication restrictions.
06
Double check all information for accuracy before submitting the requisition form.
Who needs bone mineral density requisition?
01
Individuals who are at risk of osteoporosis due to factors such as age, family history, menopause, or long-term steroid use.
02
Patients who have experienced a recent fracture or are experiencing unexplained bone pain.
03
Individuals with certain medical conditions that can affect bone health, such as hyperparathyroidism or rheumatoid arthritis.
04
Those who are undergoing treatment that may impact bone density, such as chemotherapy or long-term hormone therapy.
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What is bone mineral density requisition?
A bone mineral density requisition is a formal request or order for the measurement of bone mineral density, usually to assess the health of bones and diagnose conditions like osteoporosis.
Who is required to file bone mineral density requisition?
Typically, healthcare providers such as physicians or specialists in bone health are responsible for filing a bone mineral density requisition for their patients.
How to fill out bone mineral density requisition?
To fill out a bone mineral density requisition, the healthcare provider must include patient information, reason for the test, insurance details, and any specific instructions or relevant medical history.
What is the purpose of bone mineral density requisition?
The purpose of a bone mineral density requisition is to evaluate bone health, aid in diagnosing bone diseases, and determine the risk of fractures.
What information must be reported on bone mineral density requisition?
The requisition must report patient identification, clinical history, specific medical indications for the test, and any prior imaging results if available.
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