Get the free Canaray Lethbrdige Referral Form

Canaray Lethbridge Dental Radiology Clinic 1619 9th Avenue South Lethbridge, AB, T1J 1W1 call toll free: 1 877 498 9729 fax toll free: 1 877 498 9329 website: canaray.com MonFri: 8:30 AM 4:30 PM No

How to fill out canaray lethbrdige referral form

How to fill out canaray lethbrdige referral form

1. Obtain a copy of the Canaray Lethbridge referral form from their website or by contacting their office.
2. Fill out the patient's personal information including name, date of birth, contact information, and any relevant medical history.
3. Indicate the reason for the referral and provide any specific instructions or concerns for the radiology procedure.
4. Obtain any necessary signatures from the referring healthcare provider or patient as required.
5. Make a copy of the completed referral form for your records before submitting it to Canaray Lethbridge.

Who needs canaray lethbrdige referral form?

1. Patients who require specialized radiology services such as CT scans, MRIs, or dental imaging may need to fill out a Canaray Lethbridge referral form.
2. Healthcare providers referring patients for radiology services at Canaray Lethbridge will also need to complete and submit the referral form.

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What is canaray lethbrdige referral form?

The Canaray Lethbridge Referral Form is a document used for referring patients to the Canaray clinic in Lethbridge for diagnostic and treatment services.

Who is required to file canaray lethbrdige referral form?

Healthcare providers such as doctors, dentists, and specialists are required to file the Canaray Lethbridge Referral Form when referring patients for services.

How to fill out canaray lethbrdige referral form?

To fill out the Canaray Lethbridge Referral Form, complete the required fields with patient details, refer the specific services needed, and provide your contact information before submitting it to the clinic.

What is the purpose of canaray lethbrdige referral form?

The purpose of the Canaray Lethbridge Referral Form is to streamline the process of patient referrals, ensuring the clinic has all necessary information to provide appropriate care.

What information must be reported on canaray lethbrdige referral form?

The information that must be reported includes patient personal details, the referring physician's information, the reason for referral, and any relevant medical history.