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RADNEY LONG BEACH IMAGING REFERRAL REQUEST
For all scheduling needs:
Fax order / Phone to schedule(P)
2996230 (P)
3875000 (P)
(714)7841643
2859084 (F) (562)6270923 (F) (949)7539030 (F)Appointment
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How to fill out imaging referral request
How to fill out imaging referral request
01
Consult with the patient's primary care physician or specialist to determine the need for imaging
02
Fill out the imaging referral form with the patient's personal information, insurance details, and reason for referral
03
Attach any relevant medical records or test results to the referral request
04
Submit the completed referral form to the imaging facility or radiology department
05
Follow up with the imaging facility to schedule the appointment and ensure all necessary information has been received
Who needs imaging referral request?
01
Patients who have been advised by their healthcare provider to undergo imaging tests
02
Healthcare providers who need to request imaging services for their patients
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What is imaging referral request?
An imaging referral request is a formal document submitted by a healthcare provider to request imaging services such as X-rays, MRIs, or CT scans for a patient.
Who is required to file imaging referral request?
Typically, healthcare providers such as doctors, physician assistants, or nurse practitioners who require imaging services for their patients are required to file an imaging referral request.
How to fill out imaging referral request?
To fill out an imaging referral request, healthcare providers must provide patient details, the specific imaging required, relevant medical history, and the reason for the request, ensuring all fields are completed accurately.
What is the purpose of imaging referral request?
The purpose of an imaging referral request is to facilitate the appropriate imaging services for patients, ensuring that necessary evaluations are conducted to aid in diagnosis and treatment.
What information must be reported on imaging referral request?
The information that must be reported includes patient identification, provider details, specific imaging tests requested, clinical indication for the imaging, and any relevant medical history or previous imaging results.
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