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TECHNOLOGIST USE ONLY Measured Weight ___ measured Height ___ft ___ITECH SignatureDate//DEXA SCREENING FORM Last NameFirst NameFemaleD. O. Telephone ()Age /Lightweight/Emergency ContactPhone ()Reason
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How to fill out dexa screening form
How to fill out dexa screening form
01
Obtain the dexa screening form from a healthcare provider or clinic.
02
Fill out personal information such as name, date of birth, and contact information.
03
Provide insurance information if necessary.
04
Answer any health questions related to bone density or previous fractures.
05
Schedule an appointment for the dexa screening test.
Who needs dexa screening form?
01
Individuals at risk for osteoporosis
02
Postmenopausal women
03
Individuals with a family history of osteoporosis
04
Individuals with certain medical conditions that affect bone health
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What is dexa screening form?
Dexa screening form is a form used to report bone density screening results.
Who is required to file dexa screening form?
Healthcare providers and facilities that perform bone density screenings are required to file dexa screening form.
How to fill out dexa screening form?
To fill out dexa screening form, healthcare providers must report the patient's information, screening results, and any relevant medical history.
What is the purpose of dexa screening form?
The purpose of dexa screening form is to track bone density screening results and help identify individuals at risk for osteoporosis.
What information must be reported on dexa screening form?
The information that must be reported on dexa screening form includes patient demographics, screening results, and any recommendations for follow-up care.
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