Get the free Physician Order Form Imaging Services - Ohsu

Physician Order Form for Imaging Services Diagnostic Imaging Services 3181 SW Sam Jackson Park Road, Portland OR 97239 Radiology Scheduling: 5034180990 | Fax: 5034944621 REQUIRED FIELDS: PATIENT DEMOGRAPHICS

How to fill out physician order form imaging

How to fill out physician order form imaging

1. Obtain the physician order form from the clinic or hospital.
2. Identify the patient by entering their name, date of birth, and medical record number.
3. Select the type of imaging required (e.g., X-ray, MRI, CT scan).
4. Specify the body part that needs to be examined (e.g., chest, knee).
5. Provide relevant clinical history or symptoms that justify the imaging.
6. Include any specific instructions for the imaging technician, if necessary.
7. Ensure that the physician's signature and date are included on the form.
8. Submit the completed form to the imaging department or radiology.

Who needs physician order form imaging?

1. Any patient requiring imaging studies for diagnostic purposes.
2. Physicians referring patients for imaging services.
3. Healthcare providers coordinating diagnostic evaluations for treatment.

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What is physician order form imaging?

Physician order form imaging is a standardized document used by healthcare providers to request imaging services, such as X-rays, MRIs, or CT scans, for patients.

Who is required to file physician order form imaging?

Healthcare providers, including physicians and specialists, are required to file the physician order form imaging when they deem imaging services necessary for patient care.

How to fill out physician order form imaging?

To fill out a physician order form imaging, the healthcare provider should complete patient identification details, specify the type of imaging required, provide clinical information, and sign the form before submission.

What is the purpose of physician order form imaging?

The purpose of physician order form imaging is to ensure that patients receive appropriate and necessary imaging services for diagnosis and treatment, and to facilitate communication between healthcare providers and imaging facilities.

What information must be reported on physician order form imaging?

The physician order form imaging must report patient demographics, clinical history, specific imaging requested, and any relevant medical information necessary for interpreting the imaging results.