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Please scan here to request an appointmentCardiovascular Imaging RequestSYDNEY ADVENTIST HOSPITAL 185 Fox Valley Rd Wahroonga NSW 2076 Radiology Level 3, Tull och Building E: radiology@sah.org.au Nuclear
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How to fill out cardiovascular imaging request

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How to fill out cardiovascular imaging request

01
Consult with the patient's healthcare provider to determine the need for cardiovascular imaging.
02
Fill out the necessary patient information including name, date of birth, and contact information.
03
Provide detailed clinical information and reason for the imaging request.
04
Specify the type of cardiovascular imaging needed such as echocardiogram, stress test, or cardiac MRI.
05
Include any relevant medical history, current medications, and prior imaging studies.
06
Submit the completed request form to the imaging facility for scheduling.

Who needs cardiovascular imaging request?

01
Patients with suspected cardiovascular conditions
02
Patients at risk for heart disease
03
Patients with a history of heart problems
04
Physicians and healthcare providers ordering diagnostic tests
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The cardiovascular imaging request is a form used to request diagnostic imaging procedures for the heart and blood vessels.
Cardiologists, physicians, or any healthcare provider may be required to file a cardiovascular imaging request.
The cardiovascular imaging request form must be completed with patient information, clinical history, requested imaging procedure, and relevant clinical indications.
The purpose of the cardiovascular imaging request is to facilitate the scheduling and performance of diagnostic imaging procedures for cardiac evaluation.
Patient demographics, clinical history, referring physician information, requested imaging procedure, and clinical indications must be reported on the cardiovascular imaging request.
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