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IR Clinic Department Only Office: (727) 5225800 Fax: (727) 2330299 2100 1st Ave. South St. Petersburg, FL 33712 Patient Name: ___ D.O.B.: ___ / ___ /___ Pt. Cell #: ( ___) ___ Insurance: ___ Ordering
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How to fill out ir clinic department only

01
Obtain a referral from a primary care physician or specialist for an interventional radiology (IR) procedure.
02
Contact the IR clinic department to schedule an appointment.
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Bring any relevant medical records or imaging studies to the appointment.
04
Complete any necessary paperwork or forms provided by the IR clinic department.
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Follow any pre-procedure instructions given by the healthcare team.
06
Arrive on time for the appointment and follow post-procedure guidelines provided.

Who needs ir clinic department only?

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Patients who require minimally invasive procedures such as biopsies, angiograms, or stent placements may benefit from the services provided by the IR clinic department.
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The IR Clinic Department Only refers to a specific administrative division focused on internal referrals and management of clinic-related activities, primarily aimed at streamlining patient care and operational efficiency.
Healthcare providers and clinics that generate internal referral documentation within their operations are required to file the IR Clinic Department Only.
To fill out the IR Clinic Department Only, a designated representative must complete the required forms, ensuring all fields are accurately filled with patient information, referring physician details, and reasons for the referral.
The purpose of the IR Clinic Department Only is to facilitate the tracking and management of internal referrals, enhancing communication between departments and ensuring that patients receive appropriate care in a timely manner.
The information that must be reported includes patient demographics, referring physician information, consultation details, and any relevant medical history pertinent to the referral.
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