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Fax: 6135482413 VASCULAR ULTRASOUND LAB KG Site REQUISITION Fax: 6135481339 KG Site Tel: 6135496666 Ext: 3050CR#: Name (Last, First): Health Card # Date of Birth: Address: Phone:INPATIENT Service:
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How to fill out vascular ultrasound lab requisition
How to fill out vascular ultrasound lab requisition
01
Obtain the vascular ultrasound lab requisition form from the healthcare provider or the hospital.
02
Fill out the patient's demographic information such as name, date of birth, gender, and contact information.
03
Provide the reason for the test and any relevant medical history that may assist the sonographer in performing the exam.
04
Indicate which specific vascular structures or areas need to be examined, such as carotid arteries, veins in the legs, or arteries in the arms.
05
Include any relevant lab results or imaging studies that may be pertinent to the vascular ultrasound exam.
06
Sign and date the requisition form before submitting it to the lab for processing.
Who needs vascular ultrasound lab requisition?
01
Patients who have been referred by their healthcare provider for a vascular ultrasound exam.
02
Healthcare providers who are ordering the test to assess blood flow and detect any abnormalities in the vascular system.
03
Hospitals and medical facilities where the ultrasound exam will be performed by a trained sonographer.
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What is vascular ultrasound lab requisition?
Vascular ultrasound lab requisition is a form used to request a vascular ultrasound test to evaluate blood flow and detect potential abnormalities in the blood vessels.
Who is required to file vascular ultrasound lab requisition?
Healthcare providers such as doctors, nurses, or technicians are required to file vascular ultrasound lab requisition.
How to fill out vascular ultrasound lab requisition?
To fill out the vascular ultrasound lab requisition, healthcare providers must provide patient information, reason for the test, and any relevant medical history.
What is the purpose of vascular ultrasound lab requisition?
The purpose of vascular ultrasound lab requisition is to assess blood flow in the arteries and veins, detect blockages or narrowing, and diagnose conditions like deep vein thrombosis or atherosclerosis.
What information must be reported on vascular ultrasound lab requisition?
Patient's name, date of birth, reason for the test, referring physician, any relevant medical history, insurance information, and any special instructions.
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