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Non Cancerous Radiation Therapy Worksheet (As of 1 January 2023) If the treatment is for metastases from a noncancerous (not malignant) condition, please use the appropriate metastatic worksheet.
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Gather all necessary information for the form such as patient details, date of birth, and medical history.
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Patients who are undergoing radiation therapy and require specific fractionation and imaging services, as well as any additional special services related to their treatment.
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Radiation-therapy-fractionation-image-special-services refers to the specific services provided in the field of radiation therapy, including methods of fractionation and imaging techniques.
Medical facilities and providers offering radiation therapy services are required to file radiation-therapy-fractionation-image-special-services.
The form for radiation-therapy-fractionation-image-special-services should be completed with accurate details of the specific services provided and other required information.
The purpose of radiation-therapy-fractionation-image-special-services is to ensure proper documentation and reporting of radiation therapy treatments and related services.
Information such as patient demographics, treatment specifics, imaging techniques used, and other relevant details must be reported on radiation-therapy-fractionation- image-special-services.
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