Get the free NM Bone Scan History Form

Nuclear Medicine Bone Scan History Form Exam date Patient name DOB Female Male 1. Do you have pain anywhere? Y N If yes, where and for how long have you had this pain: 2. Any known injury to the above

How to fill out nm bone scan history

How to fill out nm bone scan history:

1. Provide personal information such as your full name, date of birth, and contact information.
2. Include relevant medical history, including any previous bone scans, surgeries, or injuries.
3. Specify the reason for the current bone scan, such as evaluating suspected bone metastases or assessing bone health.
4. Describe any symptoms or concerns related to your bones or joints that led to the recommendation for a bone scan.
5. Detail any current medications or treatments you are undergoing that may affect the bone scan results.
6. Mention any known allergies or sensitivities to contrast agents or medications used during the scan.
7. If you have any physical limitations or special needs, such as the inability to lie flat for an extended period, communicate them to the medical staff.
8. Sign and date the history form to indicate your consent and understanding of the information provided.

Who needs nm bone scan history:

1. Patients undergoing a bone scan to evaluate bone health or detect bone metastases may need to provide a nm bone scan history.
2. Medical professionals involved in the interpretation and diagnosis of the bone scan results may require access to the patient's nm bone scan history.
3. Researchers or scientists studying bone scans or related medical conditions may also need access to nm bone scan history for their studies.

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What is nm bone scan history?

Nm bone scan history is a medical record that documents the history and results of nuclear medicine bone scans, which are used to diagnose and monitor conditions affecting the bones.

Who is required to file nm bone scan history?

Healthcare professionals and facilities conducting nuclear medicine bone scans are responsible for filing and maintaining nm bone scan history records.

How to fill out nm bone scan history?

Nm bone scan history is usually filled out by the healthcare professional or radiologist who performed the bone scan. It typically includes information such as patient demographics, scan details, imaging results, and any relevant notes or observations.

What is the purpose of nm bone scan history?

The purpose of nm bone scan history is to provide a comprehensive record of a patient's past bone scans, which can assist in diagnosing and monitoring bone-related conditions, evaluating treatment effectiveness, and tracking changes over time.

What information must be reported on nm bone scan history?

The information reported on nm bone scan history may include patient demographics (e.g., name, age, gender), scan date, scan type, radiopharmaceutical used, scan findings, radiologist's interpretation, and any additional relevant information or notes.