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PET/CT Referral Form 2930 Squalicum Parkway, Ste. 201, Bellingham, WA 98225 Scheduling: 866.533.4296 | Fax: 866.533.4297 PATIENT INFORMATION ___[1] Patient Name_________ [2] Date of Birth[3] Height[4]
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How to fill out petct services

01
Contact the healthcare provider or medical facility to schedule a PET-CT scan appointment.
02
Follow any preparation instructions given by the medical staff, such as fasting or avoiding certain medications.
03
Arrive at the appointment on time and check in with the front desk.
04
Undergo the PET-CT scan procedure, which involves receiving an injection of a radioactive tracer and lying still on a table while the scanner takes images.
05
Wait for the results to be analyzed by a radiologist and reviewed by the ordering physician.

Who needs petct services?

01
Individuals who have been diagnosed with cancer and need to assess the extent of disease or monitor treatment effectiveness.
02
Patients with certain neurological conditions, such as Alzheimer's disease or epilepsy, may also benefit from PET-CT imaging.
03
Doctors may order a PET-CT scan to evaluate abnormal growths, detect infection, or assess organ function.
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PET/CT services refer to the combined diagnostic imaging techniques of Positron Emission Tomography (PET) and Computed Tomography (CT), which are used for identifying cancer, evaluating the effectiveness of treatment, and more.
Healthcare providers and facilities that offer PET/CT imaging services are typically required to file reports about these services to various regulatory bodies or insurers.
Filling out PET/CT services involves collecting patient information, details of the procedures performed, and any relevant diagnostic results, often in accordance with specific guidelines set by health authorities or insurance companies.
The purpose of PET/CT services is to provide comprehensive imaging that helps in the diagnosis, treatment planning, and evaluation of various medical conditions, primarily cancer.
Information that must be reported includes patient demographics, details of the procedure, imaging findings, and any pertinent clinical history.
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