Get the free Swedish Ballard Imaging Requisition Form - Seattle
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Radiology Exam Order Form Phone: 8007597291Fax: 2482690630Todays Date: ___/___/___ Referring Provider / Agency Information Ordering Agency Name:___ Referring Provider Name: ___ Phone: ___ Fax: ___
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How to fill out swedish ballard imaging requisition
How to fill out swedish ballard imaging requisition
01
Obtain the Swedish Ballard Imaging Requisition form from the appropriate department or website.
02
Fill out the patient's personal information including name, date of birth, and contact information.
03
Provide details about the imaging exam being requested such as the type of scan needed and the reason for the imaging.
04
Include any relevant medical history or previous imaging results that may help guide the imaging process.
05
Sign and date the requisition form before submitting it to the imaging department for processing.
Who needs swedish ballard imaging requisition?
01
Patients who require imaging services at Swedish Ballard Hospital.
02
Medical providers who are requesting imaging exams for their patients.
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What is swedish ballard imaging requisition?
Swedish Ballard Imaging requisition is a form used to request imaging services at Swedish Ballard Medical Center.
Who is required to file swedish ballard imaging requisition?
Medical professionals such as doctors, specialists, or surgeons are required to file the Swedish Ballard Imaging requisition.
How to fill out swedish ballard imaging requisition?
To fill out the Swedish Ballard Imaging requisition, medical professionals need to provide patient information, imaging service requested, reason for the imaging, and any relevant medical history.
What is the purpose of swedish ballard imaging requisition?
The purpose of the Swedish Ballard Imaging requisition is to facilitate the request and scheduling of imaging services for patients at Swedish Ballard Medical Center.
What information must be reported on swedish ballard imaging requisition?
The Swedish Ballard Imaging requisition must include patient demographics, reason for the imaging, relevant medical history, type of imaging requested, and any additional comments.
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