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This document is a requisition form for a Bone Mineral Density test at the North Bay Regional Health Centre. It includes sections for patient information, eligibility criteria, clinical history, and

How to fill out bone mineral density requisition

How to fill out bone mineral density requisition

1. Start by downloading or obtaining the bone mineral density requisition form from your healthcare provider's office or website.
2. Fill in the patient's personal information, including full name, date of birth, and contact details.
3. Indicate the referring physician's name and contact information.
4. Select the appropriate insurance information if applicable.
5. Choose the reason for the bone mineral density test, such as age, risk factors, or other medical conditions.
6. Specify any relevant medical history or medications that may affect bone density.
7. Sign and date the requisition form.
8. Submit the completed form to the designated diagnostic imaging center or laboratory.

Who needs bone mineral density requisition?

1. Individuals at risk for osteoporosis, including postmenopausal women, older adults, and those with a family history of bone fractures.
2. Patients with certain medical conditions or treatments that affect bone health, such as long-term steroid use or thyroid disorders.
3. Individuals who have had a prior fracture and are concerned about their bone health.

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What is bone mineral density requisition?

Bone mineral density requisition is a formal request or order for a bone density test, which measures the amount of minerals (mainly calcium) in a defined volume of bone.

Who is required to file bone mineral density requisition?

A healthcare provider, typically a physician or a specialist like an endocrinologist or rheumatologist, is required to file a bone mineral density requisition for a patient.

How to fill out bone mineral density requisition?

To fill out a bone mineral density requisition, include patient identification details, specify the reason for the test, provide relevant medical history, and sign the requisition before submitting it to the imaging facility.

What is the purpose of bone mineral density requisition?

The purpose of a bone mineral density requisition is to assess an individual's bone health, diagnose conditions like osteoporosis, and help determine the risk of fractures.

What information must be reported on bone mineral density requisition?

The requisition must report patient demographics, clinical history, indication for the test, physician's information, and any relevant prior imaging studies.