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LOWER EXTREMITY ORDER FORM
LOS GATOS
800 Pollard Rd., Suite B101
Los Gatos, CA 95032SCHEDULING
P: 408.374.8897
F: 408.374.8995
E: LosGatosOrders@RAYUSradiology.comIf faxing an order, please include:
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How to fill out mri lower extremity order
How to fill out mri lower extremity order
01
Obtain the necessary patient information including name, date of birth, and relevant medical history.
02
Consult with the patient's healthcare provider to determine the need for the MRI lower extremity order.
03
Complete the MRI request form with the patient's information and reason for ordering the scan.
04
Ensure all necessary pre-authorization forms are completed and submitted to the insurance company if required.
05
Schedule the MRI appointment at a radiology facility that can perform the lower extremity scan.
06
Provide the patient with information on how to prepare for the MRI scan including any dietary restrictions or medication instructions.
07
Follow up with the patient after the MRI scan to discuss the results and any further treatment options.
Who needs mri lower extremity order?
01
Patients who are experiencing symptoms such as pain, swelling, or limited range of motion in their lower extremities.
02
Healthcare providers who suspect an injury, infection, or other medical condition affecting the lower extremities.
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What is mri lower extremity order?
MRI lower extremity order is a medical request for an MRI scan specifically on the lower extremities of the body.
Who is required to file mri lower extremity order?
Typically, a healthcare provider such as a physician or specialist is required to file an MRI lower extremity order.
How to fill out mri lower extremity order?
The MRI lower extremity order should be filled out by providing the necessary patient information, reason for the scan, and any other relevant details.
What is the purpose of mri lower extremity order?
The purpose of an MRI lower extremity order is to aid in diagnosing and evaluating injuries or conditions affecting the lower limbs.
What information must be reported on mri lower extremity order?
The MRI lower extremity order should include patient demographics, clinical history, reason for the scan, and any specific instructions.
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