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Cardiac CT, Coronary CTA, Coronary Artery Calcium Score Requisition ORDERING PHYSICIAN Name:___ Signature: ___ Copy to:___ Date (dd/mm/by):___Department of Diagnostic Imaging TEL 613 9697400 x2860
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How to fill out request for ct scan
How to fill out request for ct scan
01
Get the request form for CT scan from the healthcare provider.
02
Fill in personal details like name, contact information, and date of birth.
03
Provide information about the reason for the CT scan and any relevant medical history.
04
Make sure to include any specific instructions given by the healthcare provider.
05
Review the filled request form for accuracy before submitting it to the imaging center.
Who needs request for ct scan?
01
Individuals who have been referred by a healthcare provider for further evaluation of a medical condition.
02
Patients who are experiencing symptoms that require diagnostic imaging to identify the underlying cause.
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What is request for ct scan?
A request for a CT scan is a formal document submitted by a healthcare provider to request a CT scan for a patient.
Who is required to file request for ct scan?
A healthcare provider such as a doctor or specialist is required to file a request for a CT scan.
How to fill out request for ct scan?
To fill out a request for a CT scan, the healthcare provider must provide patient information, reason for the scan, and any relevant medical history.
What is the purpose of request for ct scan?
The purpose of a request for a CT scan is to help diagnose medical conditions or to monitor the progress of a treatment.
What information must be reported on request for ct scan?
The request for a CT scan must include patient demographics, clinical history, reason for the scan, and any relevant clinical findings.
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