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THORACIC Requisition to PET CentreTO BE COMPLETED BY THE REFERRING PHYSICIANReferring Physician Name: Physician Phone: ( Patient Name:ext.)Fax: (SURNAME)CPSO No:___FIRST NAMEMIDDLEOHIP Number: Telephone:
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How to fill out thoracic requisition to pet

01
To fill out a thoracic requisition for a pet, follow these steps: 1. Start by providing your personal information, including your name, address, and contact details.
02
Mention the details of your pet, such as its name, age, breed, and any specific medical conditions or allergies it may have.
03
Specify the reason for the thoracic requisition, whether it's for a routine check-up, diagnostic imaging, or any other specific medical procedure.
04
If applicable, mention the preferred date and time for the requisition to be carried out. Ensure that it aligns with the availability of the veterinary clinic or hospital.
05
In case your pet is insured, include the necessary insurance details and policy number.
06
Finally, review the filled-out requisition form for any errors or missing information, and sign it to certify its accuracy and completeness.

Who needs thoracic requisition to pet?

01
A thoracic requisition for a pet is typically needed by pet owners or caretakers who require specific diagnostics, tests, or procedures to be performed on the thoracic region of their pet's body. This may include X-rays, CT scans, ultrasounds, or other imaging techniques to assess the heart, lungs, and surrounding structures. A thoracic requisition is often requested by veterinarians or veterinary specialists who require detailed imaging or analysis to diagnose or monitor potential health conditions in pets.
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A thoracic requisition to pet is a formal request or application submitted for the authorization of thoracic assessment related to pets, typically used in veterinary contexts.
Veterinarians or pet owners seeking specific thoracic evaluations or imaging for their pets are typically required to file a thoracic requisition.
To fill out a thoracic requisition, include the pet's details, owner’s information, reason for the requisition, and any relevant medical history prior to submission.
The purpose of a thoracic requisition is to facilitate necessary diagnostic imaging or assessments of a pet’s thoracic area to evaluate health conditions.
The requisition must report the pet's name, species, breed, age, owner's contact information, specific issues or symptoms, and any required medical history.
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