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CT Abdomen and Pelvis General Imaging RequestFacility/Reordering ProviderPatient/Member MONUMENT requests, please fax this completed document along with medical records, imaging, tests, etc. to 888.693.3210.
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How to fill out request recordswashington radiology

01
Contact the radiology department at Washington Radiology to request your records.
02
Provide your personal information such as name, date of birth, and contact information.
03
Specify the dates of the records you are requesting.
04
Indicate the reason for requesting the records, such as for medical treatment or personal records.

Who needs request recordswashington radiology?

01
Patients who have received medical imaging services at Washington Radiology and need access to their records for follow-up care or personal reference.
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Request records for Washington Radiology are documents that patients or authorized individuals submit to obtain medical records and imaging studies from Washington Radiology facilities.
Patients or their legal representatives are typically required to file a request for records with Washington Radiology.
To fill out the request, individuals must provide their personal information, the details of the records needed, and any required authorizations or signatures on the official request form provided by Washington Radiology.
The purpose is to allow patients access to their medical records for personal use, continuity of care, or to share with other healthcare providers.
The information typically required includes patient’s name, date of birth, the type of records requested, dates of service, and signature of the patient or legal representative.
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