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Get the free Fax Sheet for Mammography Appointment Booking

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Attention: Melissa FAX COMPLETED FORM TO: 6048776231 BC CANCER BREAST SCREENING REGISTRATION FORM BC Cancer Breast Screening provides screening mammograms to eligible BC residents age 40 and over.
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How to fill out fax sheet for mammography

01
Start by filling out the patient information section with the patient's name, date of birth, and contact information.
02
Include the ordering physician's information, such as name, address, and phone number.
03
Provide details about the type of mammography being requested, such as screening or diagnostic.
04
Include any relevant medical history or previous mammography results that may be important for the radiologist to know.
05
Make sure to sign and date the fax sheet before sending it to the imaging facility.

Who needs fax sheet for mammography?

01
Healthcare providers who are ordering mammography exams for their patients.
02
Imaging facilities that require documentation to schedule and perform mammography exams.
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A fax sheet for mammography is a document used to communicate important patient and procedure information related to mammography exams to the relevant healthcare entities.
Healthcare providers performing mammography are required to file the fax sheet to ensure compliance with regulatory and reporting requirements.
To fill out the fax sheet for mammography, providers should include patient identification details, the type of mammography performed, results, and any other required diagnostic information.
The purpose of the fax sheet for mammography is to provide standardized reporting of mammography results, ensuring consistency and facilitating communication between healthcare providers.
The fax sheet must include patient name, date of birth, examination date, results of the mammogram, provider's information, and any follow-up recommendations.
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