Get the free PETCT Scan Referral Form (Gateway) Master 1

PR.NO. 3805948 RAY DEPARTMENT PET/CT SCANNER GATEWAY PRIVATE HOSPITAL 3638 AURORA DRIVE, UMHLANGAPR. No. 3805948Reg. No. 2003/031449/21TEL: 031 521 0375 FAX: 087 236 0685 EMAIL: pet.bookings@lakesmit.co.zaVAT

How to fill out petct scan referral form

How to fill out petct scan referral form

1. Obtain the referral form from your healthcare provider.
2. Fill out your personal information such as name, date of birth, and contact information.
3. Provide information about your medical history and any relevant symptoms or concerns.
4. Make sure to include the reason for the PET/CT scan and any specific areas that need to be examined.
5. Return the completed form to your healthcare provider or imaging center as instructed.

Who needs petct scan referral form?

1. Individuals who have been recommended by their healthcare provider to undergo a PET/CT scan.
2. Patients who have specific symptoms or medical conditions that require imaging of metabolic activity in the body.

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What is petct scan referral form?

The PET/CT scan referral form is a medical document used to refer a patient for a PET/CT scan, which is a diagnostic imaging procedure.

Who is required to file petct scan referral form?

Medical professionals such as physicians, oncologists, or radiologists are required to file the PET/CT scan referral form for patients.

How to fill out petct scan referral form?

The PET/CT scan referral form should be filled out by providing the patient's medical history, reason for the scan, and any relevant clinical information.

What is the purpose of petct scan referral form?

The purpose of the PET/CT scan referral form is to request a PET/CT scan for a patient in order to aid in diagnosis and treatment planning.

What information must be reported on petct scan referral form?

The PET/CT scan referral form must include the patient's personal information, medical history, reason for the scan, referring physician's information, and any relevant clinical details.