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PET/CT SCAN REQUEST FORM Please email to: Petic.cardiff@wales.nhs.uk Wales Research and Diagnostic PET Imaging CentreUniversity Hospital of Wales, Heath Park, Cardiff, CF14 4XW Telephone 02920 746880/1Failure
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How to fill out pet ct scan request

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How to fill out pet ct scan request

01
Gather all necessary patient information such as name, age, and contact details.
02
Obtain a copy of the referral from the requesting physician.
03
Ensure that the patient has followed any preparation instructions provided by the healthcare provider.
04
Verify the availability of the required radiopharmaceuticals for the PET-CT scan.
05
Schedule an appointment for the patient at the designated PET-CT scan center.
06
Provide the patient with any additional instructions or precautions for the scan.
07
Inform the patient about the duration of the scan and any potential side effects.
08
Guide the patient through the registration process at the scan center.
09
Assist the patient in changing into a hospital gown and removing any metal objects or jewelry.
10
Position the patient on the PET-CT scan table and ensure their comfort and safety.
11
Administer the radiopharmaceutical through an intravenous injection or oral ingestion, as required.
12
Monitor the patient during the scan to ensure their well-being and cooperation.
13
Explain the importance of remaining still and following any breathing instructions during the scan.
14
Acquire the PET-CT images using the specialized scanning equipment.
15
Review the obtained images for quality and completeness.
16
Send the scan results and images to the requesting physician for interpretation.
17
Ensure proper documentation and storage of all relevant records and patient information.

Who needs pet ct scan request?

01
Patients suspected of having cancer or specific medical conditions may require a PET-CT scan request.
02
Physicians, oncologists, or specialists who need detailed imaging information to aid in diagnosis or treatment planning may request a PET-CT scan.
03
Medical researchers may also require PET-CT scans for studying various diseases and conducting clinical trials.

What is PET / CT SCAN REQUEST Form?

The PET / CT SCAN REQUEST is a writable document that should be submitted to the specific address in order to provide specific information. It must be completed and signed, which can be done manually, or with a particular solution like PDFfiller. This tool allows to fill out any PDF or Word document directly in your browser, customize it depending on your purposes and put a legally-binding e-signature. Right away after completion, user can easily send the PET / CT SCAN REQUEST to the relevant recipient, or multiple individuals via email or fax. The editable template is printable too due to PDFfiller feature and options presented for printing out adjustment. Both in digital and in hard copy, your form will have a organized and professional look. You may also turn it into a template for later, there's no need to create a new document from the beginning. All you need to do is to edit the ready form.

Instructions for the form PET / CT SCAN REQUEST

Once you're ready to begin completing the PET / CT SCAN REQUEST word template, you need to make clear that all required data is well prepared. This very part is important, as long as errors and simple typos may result in undesired consequences. It is always uncomfortable and time-consuming to re-submit entire editable template, not to mention penalties caused by blown due dates. Work with digits takes a lot of concentration. At first glimpse, there’s nothing tricky about this task. Nevertheless, it doesn't take much to make an error. Experts recommend to save all important data and get it separately in a different document. When you've got a writable template so far, it will be easy to export that data from the file. In any case, you ought to pay enough attention to provide actual and legit data. Check the information in your PET / CT SCAN REQUEST form twice while completing all required fields. You are free to use the editing tool in order to correct all mistakes if there remains any.

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A PET CT scan request is a formal document initiated by a healthcare provider to order a Positron Emission Tomography (PET) combined with a Computed Tomography (CT) imaging procedure for diagnostic purposes.
The healthcare provider or physician responsible for the patient's care is required to file the PET CT scan request.
To fill out a PET CT scan request, the healthcare provider must provide patient information, clinical history, reasons for the scan, and any necessary preparations required for the procedure.
The purpose of a PET CT scan request is to obtain imaging that helps in diagnosing and monitoring various medical conditions, particularly cancers and neurological disorders.
The PET CT scan request must include patient demographics, the referring physician's information, clinical indications for the scan, medical history, and any relevant imaging studies previously performed.
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