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DATED Outpatient nonemergent requests to 204 926 3650
or toll free to 1 866 210 6119 (outside Winnipeg)Patients Last Name:
Patients Contact #:
Time Order Placed:
Followup with Emergency Physician
Followup
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How to fill out diagnostic imaging central intake
How to fill out diagnostic imaging central intake
01
Obtain the referral form from your healthcare provider.
02
Fill out all required patient information accurately.
03
Provide details of the specific diagnostic imaging test requested.
04
Submit the completed form through the designated central intake system.
Who needs diagnostic imaging central intake?
01
Patients who have been referred by their healthcare provider for diagnostic imaging tests.
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What is diagnostic imaging central intake?
Diagnostic imaging central intake is a centralized process through which healthcare providers submit requests for imaging services, ensuring efficient management and coordination of diagnostic imaging resources.
Who is required to file diagnostic imaging central intake?
Healthcare providers, including physicians and radiologists, who require diagnostic imaging services for their patients are required to file a diagnostic imaging central intake.
How to fill out diagnostic imaging central intake?
To fill out diagnostic imaging central intake, one must complete a designated form that includes patient information, the type of imaging requested, clinical indications, and relevant medical history.
What is the purpose of diagnostic imaging central intake?
The purpose of diagnostic imaging central intake is to streamline the process of obtaining imaging services, improve patient care, and enhance communication between healthcare providers and imaging facilities.
What information must be reported on diagnostic imaging central intake?
Information required on diagnostic imaging central intake includes patient demographics, requesting provider details, type of imaging requested, indications for the imaging, and any pertinent medical history.
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