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PET/CT PRESCHEDULING FORM
ARA SCHEDULING: 512.458.9098 fax: 512.836.8869
PATIENT INFORMATIONREFERRING Informational:Referring clinician signature:Date of birth:___ ___Phone:SignatureHeight:Phone:Alternate:Weight:Fax:Insurance
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How to fill out online petct pre-scheduling form

How to fill out online petct pre-scheduling form
01
Access the hospital or imaging center website where the online PETCT pre-scheduling form is available.
02
Locate the section for scheduling an appointment or filling out forms.
03
Fill in your personal information such as name, contact number, and email address.
04
Provide details about your pet's condition and any specific instructions from your veterinarian.
05
Choose a preferred date and time for the PETCT scan.
06
Submit the form once all the required fields are completed.
07
Wait for confirmation of your appointment via email or phone call.
Who needs online petct pre-scheduling form?
01
Pet owners whose veterinarian has recommended a PETCT scan for their pet.
02
Individuals who want to schedule a PETCT scan for their pet in advance.
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What is online petct pre-scheduling form?
The online petct pre-scheduling form is a digital document that allows individuals to schedule their PET/CT scans in advance.
Who is required to file online petct pre-scheduling form?
Individuals who need to undergo a PET/CT scan are required to file the online petct pre-scheduling form.
How to fill out online petct pre-scheduling form?
To fill out the online petct pre-scheduling form, users need to provide their personal information, select the type of scan, and choose a preferred date and time.
What is the purpose of online petct pre-scheduling form?
The purpose of the online petct pre-scheduling form is to manage appointments efficiently and ensure that patients have a scheduled time for their PET/CT scans.
What information must be reported on online petct pre-scheduling form?
The information required to be reported on the online petct pre-scheduling form includes personal details, insurance information, and the desired appointment date and time.
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