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Children's Ultrasound, Fluoroscopy and General Ray Requisition Fax: 5196676826Phone: 5196858770Ultrasound Abdomen: ___ Patient Name: ___ Gender: M F T Date of birth: ___ Address: ___ AGE City: ___
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How to fill out swedish edmonds imaging requisition
How to fill out swedish edmonds imaging requisition
01
Gather all necessary patient information such as name, date of birth, and contact information.
02
Indicate the type of imaging study needed (e.g. X-ray, MRI, CT scan).
03
Provide relevant clinical information or reason for the imaging request.
04
Fill out any required sections for insurance or billing purposes.
05
Submit the completed requisition form to the Swedish Edmonds Imaging department.
Who needs swedish edmonds imaging requisition?
01
Patients who have been referred by their healthcare provider for imaging studies such as X-rays, MRIs, or CT scans.
02
Healthcare providers who require imaging services for their patients.
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What is swedish edmonds imaging requisition?
Swedish Edmonds imaging requisition is a form used to request medical imaging services at Swedish Edmonds Hospital.
Who is required to file swedish edmonds imaging requisition?
Medical professionals or healthcare providers are required to file Swedish Edmonds imaging requisition for their patients.
How to fill out swedish edmonds imaging requisition?
Swedish Edmonds imaging requisition can be filled out by providing patient information, specific imaging service requested, and any relevant medical history.
What is the purpose of swedish edmonds imaging requisition?
The purpose of Swedish Edmonds imaging requisition is to request and schedule medical imaging services for diagnostic purposes.
What information must be reported on swedish edmonds imaging requisition?
Patient demographics, medical history, specific imaging service requested, referring physician information, and any relevant clinical notes must be reported on Swedish Edmonds imaging requisition.
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