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How to fill out magnetic resonance imaging request

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How to fill out magnetic resonance imaging request

01
Start by filling out the patient's personal information, including name and date of birth.
02
Provide the referring physician's information.
03
Specify the type of MRI required (e.g., brain, spine, joints).
04
Include relevant clinical information and symptoms to justify the MRI.
05
Indicate any prior imaging studies or treatments related to the investigation.
06
Complete any required pre-authorization information if necessary.
07
Review the form for accuracy before submission.

Who needs magnetic resonance imaging request?

01
Patients with unexplained pain or symptoms.
02
Individuals with suspected tumors or abnormalities in organs.
03
People with neurological conditions such as multiple sclerosis.
04
Patients needing assessment for injuries, especially in joints or the spine.
05
Individuals requiring follow-up imaging after previous studies.
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A magnetic resonance imaging request is a formal document submitted by a healthcare provider to initiate an MRI scan for a patient, outlining the medical necessity and reason for the imaging.
Typically, a licensed healthcare professional, such as a physician or specialist, is required to file a magnetic resonance imaging request on behalf of the patient.
To fill out a magnetic resonance imaging request, the healthcare provider must provide patient information, clinical history, the specific area to be imaged, and any relevant medical information that supports the need for the MRI.
The purpose of a magnetic resonance imaging request is to document the need for the MRI, ensure appropriate use of resources, and communicate clinical information to the imaging facility.
Information that must be reported on the magnetic resonance imaging request includes patient's name, date of birth, medical record number, details of the examination requested, relevant medical history, and reason for the exam.
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