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Get the free Low Dose CT Lung Screening Order Form PLEASE COMPLETE ...

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ANNUALBASELINEPLEASE COMPLETE THIS FORM AND FAX IT BACK. Low Dose CT Lung Screening Order Form Patient Name:Date of Birth:Height:Weight:Gender:MalePatient Phone:Femaleness: Must be 5080 yrs old (CMS
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How to fill out low dose ct lung

01
Schedule an appointment with your healthcare provider to discuss the need for a low dose CT lung scan.
02
Follow any preparation instructions provided by your healthcare provider, such as fasting before the scan.
03
Arrive at the imaging center at the scheduled time and check in with the receptionist.
04
Change into a hospital gown and remove any jewelry or metal objects that may interfere with the scan.
05
Lie down on the scanning table and hold your breath when instructed by the technologist.
06
The scan will only take a few minutes and you will be able to return to your normal activities afterwards.
07
Your healthcare provider will review the results of the scan with you and discuss any further steps that may be needed.

Who needs low dose ct lung?

01
Individuals at high risk for lung cancer, such as current or former smokers aged 55-80, may benefit from a low dose CT lung scan.
02
Patients with a history of occupational exposure to radon, asbestos, or other carcinogens may also be recommended to have a low dose CT lung scan.
03
Individuals with a family history of lung cancer or other risk factors may also be candidates for a low dose CT lung scan.
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Low-dose CT lung is a type of imaging test that uses low levels of radiation to create detailed pictures of the lungs.
Individuals who are at high risk for lung cancer, such as current or former smokers, may be required to have a low-dose CT lung screening.
The low-dose CT lung screening is typically performed at a hospital or imaging center, where a trained technician will guide you through the process.
The purpose of a low-dose CT lung screening is to detect lung cancer early, when it is more treatable.
The results of the low-dose CT lung screening, including any abnormalities or signs of lung cancer, must be reported to the ordering healthcare provider.
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