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or Interventional Procedure ReferralSan Radiology/MRI Level 3, Tulloch Building Email: radiology@sah.org.au Fax: 02 9480 9845 Nuclear Medicine/PETCT Level 3, San Clinic Email: nmadmin@sah.org.au Fax:
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How to fill out specialist breast imaging request

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How to fill out specialist breast imaging request

01
Start by gathering all necessary patient information, including their name, date of birth, contact information, and relevant medical history.
02
Determine the specific reasons for the specialist breast imaging request, such as routine screening, evaluation of a suspicious lump, or follow-up on a previous imaging finding.
03
Select the appropriate type of breast imaging based on the patient's needs, such as mammogram, ultrasound, MRI, or biopsy.
04
Complete the request form provided by the specialist breast imaging center, ensuring all required fields are filled out accurately.
05
Provide any additional clinical information that may assist the imaging specialist in interpreting the results, such as previous imaging reports or relevant laboratory test results.
06
Submit the completed request form to the specialist breast imaging center through their preferred method, which may include fax, email, or an online portal.
07
Ensure that the patient is informed about the purpose of the specialist breast imaging request and any necessary preparations they need to follow (e.g., fasting before a mammogram).
08
Follow up with the patient to schedule the imaging appointment at the specialist breast imaging center.
09
Communicate any special instructions or precautions to the patient, such as avoiding the use of deodorant or lotion before a mammogram.
10
Document the specialist breast imaging request in the patient's medical record for future reference and coordination of care.

Who needs specialist breast imaging request?

01
A specialist breast imaging request is typically needed for individuals who require specific evaluation or screening of their breast tissue or related abnormalities.
02
This may include individuals with a family history of breast cancer, those who have noticed a new lump or changes in their breast tissue, individuals with previous abnormal imaging findings, or women reaching a certain age for routine breast cancer screening.
03
It is ultimately up to the healthcare provider to determine if a specialist breast imaging request is necessary for a particular patient based on their individual circumstances and clinical judgment.
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A specialist breast imaging request is a formal submission made by healthcare providers to obtain specific imaging services for breast-related assessments, typically performed by specialized radiologists.
Healthcare professionals, such as physicians, surgeons, or nurse practitioners who suspect breast pathology or require further investigation for their patients, are required to file specialist breast imaging requests.
To fill out a specialist breast imaging request, the healthcare provider must complete a designated form with patient details, clinical indications, prior imaging history, and specific tests requested before submitting it to the imaging facility.
The purpose of the specialist breast imaging request is to facilitate the appropriate diagnosis and management of breast conditions, ensuring that patients receive necessary imaging based on clinical indications.
The request must include patient demographics, referring physician information, clinical history, indication for imaging, and specific imaging modalities requested.
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