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Radiology Request CT Scheduling 5403324400 Fax 5403324490 ***Patient May Needs To Pick Up Oral Prep*** Patient Name ___ DOB ___ Weight ___ Apt. Date/Time ___ Patient Address ___ Phone ___ Insurance
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How to fill out radiology request- ct

01
Obtain the patient's demographic and clinical information.
02
Determine the reason for the CT scan and specify the body part to be examined.
03
Select the appropriate radiology request form for CT scans.
04
Fill out the form with relevant patient information, including name, date of birth, and medical history.
05
Provide detailed clinical indications and any relevant laboratory results.
06
Specify any specific imaging protocols or requirements.
07
Obtain physician's signature and contact information for any follow-up.
08
Submit the completed radiology request form to the imaging department for scheduling.

Who needs radiology request- ct?

01
Patients who require diagnostic imaging to evaluate their condition.
02
Physicians, including primary care doctors and specialists, who need to order imaging tests for their patients.
03
Medical imaging technologists who perform the CT scans based on the radiology requests.
04
Medical staff involved in the patient's care, including nurses and radiologists, who need access to the imaging results.
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Radiology request-CT is a medical order for a computed tomography scan to help diagnose and monitor various health conditions.
Healthcare providers such as doctors, specialists, or nurse practitioners are required to file radiology request-CT for their patients.
To fill out a radiology request-CT, healthcare providers need to include patient information, reason for the scan, and any relevant medical history.
The purpose of radiology request-CT is to obtain detailed images of the body for diagnostic purposes, such as identifying tumors, injuries, or other abnormalities.
Radiology request-CT should include patient demographic information, clinical indication for the scan, referring provider details, and any relevant clinical history.
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