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Get the free PET/CT EXAM REQUEST PATIENT SCHEDULING ...

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You must bring this prescription with you to your impatient Scheduling 703.698.4488 Fax 703.698.0864 Schedule online at fairfaxradiology.com To avoid any delay, all information in this box must be
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How to fill out petct exam request patient

01
Obtain the petct exam request form from the healthcare provider
02
Fill out the patient information section including name, date of birth, and contact information
03
Provide details about the reason for the scan and any relevant medical history
04
Ensure all required fields are completed accurately
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Sign and date the form before submitting it for processing

Who needs petct exam request patient?

01
Patients who have been referred by their healthcare provider for a petct scan
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PET/CT exam request patient is a medical procedure that combines positron emission tomography (PET) and computed tomography (CT) scans to provide detailed images of the body's internal structures.
Physicians or healthcare providers are required to file the PET/CT exam request for the patient.
The PET/CT exam request for the patient must be filled out by providing the patient's information, medical history, reason for the exam, and any relevant clinical details.
The purpose of the PET/CT exam request for the patient is to diagnose, stage, and monitor the progression of certain types of cancers.
The PET/CT exam request for the patient must include the patient's name, date of birth, medical history, reason for the exam, and any relevant clinical details.
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