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50 N. La Cinema Blvd, Suite 100 Beverly Hills, California 90211 TEL: 310.657.7500 | FAX: 310.657.7501 www.beverlyhillsmedimaging.comPATIENT INFO PT. NAME:DR. NAME:DR. SIGN:PT. DOB:DR. TEL:ORDER DATE:PT.
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Gather the necessary information such as patient ID, referring physician's information, and insurance details.
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Provide complete details of the medical history and reason for the 64-slice imaging procedure.
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Who needs westside medical imaging 64-slice?

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Patients who require detailed imaging for diagnostic purposes.
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Healthcare providers looking for advanced imaging technology for accurate diagnosis.
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Westside Medical Imaging 64-slice is a type of medical imaging technology that utilizes a 64-slice CT scanner to obtain detailed images of the body.
Healthcare facilities and providers who use or operate a Westside Medical Imaging 64-slice machine are required to file the necessary reports.
To fill out the Westside Medical Imaging 64-slice report, healthcare facilities and providers must provide detailed information about the machine, procedures performed, and patients scanned.
The purpose of Westside Medical Imaging 64-slice is to assist healthcare professionals in diagnosing and treating medical conditions by providing high-quality images of the body.
Information such as machine specifications, usage logs, patient demographics, and imaging reports must be reported on the Westside Medical Imaging 64-slice form.
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