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SurnameDIAGNOSTIC IMAGING (DI) REQUISITION FAXED REQUISITIONS PREFERREDFirst nameMothers maiden name Fathers first name: Street addressApartment no. CENTRAL BOOKING OFFICE TELEPHONE 6137614831 DI
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How to fill out diagnostic imaging di requisition

01
Obtain the appropriate diagnostic imaging di requisition form from the healthcare provider.
02
Fill out the patient's personal information including name, date of birth, and contact information.
03
Specify the type of diagnostic imaging test requested and provide any relevant medical history or symptoms.
04
Include the healthcare provider's information such as name, signature, and contact details.
05
Verify that all necessary information is correctly filled out and legible before submitting the requisition form.

Who needs diagnostic imaging di requisition?

01
Patients who have been prescribed a diagnostic imaging test by their healthcare provider.
02
Healthcare professionals who are requesting diagnostic imaging tests for their patients.
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Diagnostic imaging di requisition is a form or request that is used to order specific diagnostic imaging tests or procedures for a patient.
Healthcare providers such as doctors, nurses, or specialists are required to file diagnostic imaging di requisition for their patients.
Diagnostic imaging di requisition can be filled out by providing patient information, specifying the type of imaging test needed, and indicating any relevant medical history.
The purpose of diagnostic imaging di requisition is to ensure that patients receive the necessary and appropriate imaging tests for their medical condition.
Patient demographics, clinical indication for the test, requested imaging procedure, and any relevant medical history must be reported on diagnostic imaging di requisition.
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