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GASTROINTESTINAL (GI) REQUISITION4665 Ponce De Leon Blvd., Coral Gables, FL 33146 Telephone 7864640749 Fax 7869535342000000000PATIENT INFORMATION LAST NAMECLIENT INFORMATIONFIRST NAMEDATE OF BIRTHMIMRN/PT.CHART#SEXMaleFemaleSTREET
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How to fill out gastrointestinal gi requisition

01
Obtain the gastrointestinal GI requisition form from the appropriate source.
02
Fill in the patient's personal information, including name, date of birth, and contact details.
03
Provide the referring physician's name and contact information.
04
Indicate the type of procedure or test required (e.g., endoscopy, colonoscopy).
05
Include relevant medical history or symptoms that necessitate the GI examination.
06
Check any necessary insurance or payment information.
07
Sign and date the requisition form.
08
Submit the completed form to the appropriate facility or laboratory.

Who needs gastrointestinal gi requisition?

01
Patients experiencing gastrointestinal symptoms such as abdominal pain, reflux, or changes in bowel habits.
02
Physicians who suspect underlying GI disorders and require diagnostic procedures.
03
Individuals undergoing routine screening for GI diseases, such as colorectal cancer.
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A gastrointestinal GI requisition is a formal request or form used in the medical field to order tests or procedures related to the gastrointestinal system, including endoscopies or imaging studies.
Typically, healthcare providers such as physicians or gastroenterologists are required to file gastrointestinal GI requisitions for their patients when gastrointestinal tests or procedures are needed.
To fill out a gastrointestinal GI requisition, one must provide patient information, the specific tests or procedures being requested, relevant medical history, and any additional details required by the laboratory or radiology department.
The purpose of a gastrointestinal GI requisition is to ensure that appropriate tests are ordered to diagnose or monitor gastrointestinal conditions, facilitating accurate and timely patient care.
Information that must be reported on a gastrointestinal GI requisition typically includes patient demographics, referring physician details, clinical indications for the tests, and specific procedures requested.
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