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Request for XRay/UltrasoundHumber River Hospital 1235 Wilson Ave. LEVEL 2 EAST Toronto, ON M3M 0B2 Phone 4162421000 Ext. 63311 Fax 18559321264 Appt. Date ___ Appt. Time ___Patient Information Name
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How to fill out request for x-rayultrasound

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How to fill out request for x-rayultrasound

01
Start by obtaining the request form for an x-rayultrasound from the hospital or healthcare facility.
02
Fill out your personal information accurately on the form, including your full name, date of birth, and contact details.
03
Provide relevant medical information, such as your symptoms, medical history, and any specific area or part of your body that needs to be examined.
04
Indicate any special instructions or requests, if applicable, such as fasting prior to the x-rayultrasound or any medication you are currently taking.
05
Double-check that you have completed all the necessary sections of the form and that the information provided is correct.
06
Return the filled-out request form to the hospital or healthcare facility and follow their instructions on scheduling an appointment for the x-rayultrasound.
07
Make sure to bring any additional documents or identification required by the facility on the day of your appointment.
08
During the x-rayultrasound procedure, follow the instructions of the healthcare professionals and inform them of any discomfort or concerns you may have.
09
After the procedure, follow up with your healthcare provider to discuss the results and any further steps or treatments that may be needed.

Who needs request for x-rayultrasound?

01
A request for x-rayultrasound is typically needed by individuals who require further diagnostic imaging to assess their medical condition.
02
This could include patients who have reported symptoms related to a specific area or part of their body that requires further investigation.
03
Doctors may also request an x-rayultrasound to monitor the progress of a specific treatment or to evaluate the extent of an injury or disease.
04
Ultimately, the decision to request an x-rayultrasound is made by a healthcare professional based on their assessment of the patient's needs and symptoms.
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A request for x-ray or ultrasound is a formal document submitted by a healthcare provider to order radiological imaging for diagnostic purposes.
Typically, licensed healthcare professionals such as physicians or physician assistants are required to file the request for x-ray or ultrasound.
To fill out a request for x-ray or ultrasound, the healthcare provider must provide patient information, clinical indications for the imaging, and any specific instructions or preferences regarding the procedure.
The purpose of the request is to facilitate the necessary diagnostic imaging to examine, diagnose, or monitor a medical condition.
The information reported must include patient demographics, medical history, reason for the request, specific imaging required, and the referring physician's details.
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