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Delgado Community College Radiation Therapy (RATE) Program APPLICATION COMPLETION CHECKLIST MUST BE COMPLETE BY May 1,2023 ___ Submit your Application to the Radiation Therapy Program online at: https://www.dcc.edu/academics/alliedhealth/programs/radiationtherapy/application.aspx

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How to fill out radiation formrapy admissions form

01

Obtain the radiation therapy admissions form from the hospital or clinic where you will be receiving treatment.

02

Fill in your personal information including name, address, contact details, and insurance information.

03

Provide details about your medical history, current condition, and the type of cancer you are being treated for.

04

Include information about any medications you are currently taking and any allergies or existing health conditions.

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Sign and date the form to confirm the accuracy of the information provided.

Who needs radiation formrapy admissions form?

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Patients who are undergoing or planning to undergo radiation therapy treatment.

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What is radiation formrapy admissions form?

The radiation formrapy admissions form is a document required for patients seeking admission to receive radiation therapy as part of their medical treatment.

Who is required to file radiation formrapy admissions form?

Patients who are being referred for radiation therapy by their healthcare provider are required to file the radiation formrapy admissions form.

How to fill out radiation formrapy admissions form?

To fill out the radiation formrapy admissions form, a patient should provide personal information, medical history, treatment specifics, and any relevant insurance details as prompted in the form.

What is the purpose of radiation formrapy admissions form?

The purpose of the radiation formrapy admissions form is to gather necessary information to assess the patient's eligibility for radiation therapy and to facilitate the scheduling of treatment.

What information must be reported on radiation formrapy admissions form?

The information that must be reported includes the patient's name, contact information, medical history, details of the referring physician, and current health status.

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