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PET/CT Order Sheet Scheduling: 4014447770 Fax: 4014447779APPOINTMENT SCHEDULED FOR:/ Outpatient INFORMATION First Name:___Time___Last Name: ___DOB:___ Primary Phone:MaleFemalePatient Height : ___Insurance
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How to fill out petct order sheet

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How to fill out petct order sheet

01
Fill out patient demographics including name, date of birth, and contact information.
02
Provide relevant medical history including symptoms, previous diagnoses, and relevant lab results.
03
Indicate the reason for the PETCT scan and any specific areas of concern.
04
Specify any medications the patient is currently taking or any allergies they may have.
05
Include any special instructions or preferences for the scan, such as fasting requirements or contrast dye allergies.

Who needs petct order sheet?

01
Medical professionals such as doctors, radiologists, and oncologists who are ordering a PETCT scan for a patient.
02
Patients who are scheduled to undergo a PETCT scan and need to provide information for the imaging facility.
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The PETCT order sheet is a specific form used in medical imaging to request a PET-CT scan.
Medical professionals, such as doctors or radiologists, are required to fill out the PETCT order sheet.
To fill out the PETCT order sheet, the medical professional must provide patient information, reason for the scan, and any specific instructions.
The purpose of the PETCT order sheet is to ensure that the correct imaging procedure is performed on the patient.
The PETCT order sheet must include patient demographics, clinical history, reason for the scan, premedication orders, and any other relevant information.
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