Get the free Referral Form MRICTX-RayUSS

Cobalt Imaging Centre Referral Form1.5 and 3.0 Tesla MRI, CT, Ultrasound and Xray T: 01242 535910 E: bookings@cobalthealth.co.uk PET/CT referrals must be submitted on an alternative form, please contact

How to fill out referral form mrictx-rayuss

How to fill out referral form mrictx-rayuss

1. Obtain the referral form mrictx-rayuss from the referring physician or healthcare provider.
2. Fill out the patient's demographic information including name, date of birth, and contact details.
3. Provide relevant medical history and reason for the referral for MRI, CT scan, or ultrasound imaging.
4. Include any specific instructions or requests from the referring physician regarding the imaging procedure.
5. Sign and date the referral form to validate the request for imaging services.

Who needs referral form mrictx-rayuss?

1. Patients who have been recommended by their healthcare provider to undergo MRI, CT scan, or ultrasound imaging.
2. Healthcare professionals who are referring patients for diagnostic imaging services.

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What is referral form mrictx-rayuss?

Referral form mrictx-rayuss is a document used to request a magnetic resonance imaging (MRI) or computed tomography (CT) scan for a patient.

Who is required to file referral form mrictx-rayuss?

Referral form mrictx-rayuss is typically required to be filed by a healthcare provider or physician ordering the MRI or CT scan.

How to fill out referral form mrictx-rayuss?

Referral form mrictx-rayuss should be filled out with the patient's relevant medical history, symptoms, and the reason for ordering the MRI or CT scan.

What is the purpose of referral form mrictx-rayuss?

The purpose of referral form mrictx-rayuss is to facilitate the scheduling and performance of MRI or CT scans for diagnostic or treatment purposes.

What information must be reported on referral form mrictx-rayuss?

Information such as patient's name, date of birth, referring physician, clinical indications for the scan, relevant medical history, and any contraindications should be reported on referral form mrictx-rayuss.