Get the free BONE SCAN PET/CT REFERRAL DATA SHEET - CMIT

BONE SCAN PET/CT REFERRAL DATA SHEET Please note new location and contact information for Epicenter for Molecular Imaging and Therapy 2120 Kings Highway Scheduling: 3187164001 Fax: 3187164075PATIENT

How to fill out bone scan petct referral

How to fill out bone scan petct referral

1. Obtain the bone scan PET/CT referral form from your referring physician.
2. Fill in your personal information such as name, date of birth, and contact information.
3. Provide details of the reason for the bone scan PET/CT referral, including any relevant medical history or symptoms.
4. Specify any specific areas of concern that you would like the scan to focus on.
5. Ensure that the referring physician signs and dates the form before submitting it to the imaging center.

Who needs bone scan petct referral?

1. Individuals who have been experiencing unexplained bone pain.
2. Patients with a history of cancer that may have spread to the bones.
3. Individuals with suspected bone fractures or injuries that require further evaluation.
4. Patients undergoing treatment for bone-related conditions such as osteoporosis or bone infections.

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What is bone scan petct referral?

A bone scan PET-CT referral is a formal request made by a healthcare provider for a patient to undergo a combined PET (Positron Emission Tomography) and CT (Computed Tomography) scan to assess bone health, detect abnormalities, and diagnose conditions such as cancer or osteoporosis.

Who is required to file bone scan petct referral?

Typically, a licensed healthcare provider, such as a physician or specialist, is required to file a bone scan PET-CT referral on behalf of the patient.

How to fill out bone scan petct referral?

To fill out a bone scan PET-CT referral, the healthcare provider must complete a referral form that includes patient information, the reason for the referral, clinical history, and any prior imaging results relevant to the case.

What is the purpose of bone scan petct referral?

The purpose of a bone scan PET-CT referral is to obtain detailed imaging of the bones to diagnose diseases, evaluate the extent of cancer, and monitor treatment responses.

What information must be reported on bone scan petct referral?

The information that must be reported includes patient details (name, date of birth), clinical indication for the scan, previous imaging studies, and any relevant medical history.