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PET/CT REQUEST Not a local number, must dial 18003714926. Please call to schedule at 402 644 7121 or Fax information to 800 371 4926. SECTION I Must include the following with a PET/CT Request Form:
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How to fill out petct request - frhs
How to fill out PET/CT request - FRHS:
01
Begin by providing your personal information, including your name, contact number, and any relevant medical identification numbers.
02
Clearly state the reason for the PET/CT request, whether it is for diagnostic purposes, treatment planning, or monitoring response to treatment.
03
Specify the desired date and time for the PET/CT scan, keeping in mind any scheduling constraints or preferences.
04
Indicate whether there are any specific areas or organs of interest to focus on during the scan, if applicable.
05
Include any relevant medical history that may impact the interpretation of the PET/CT results, such as previous surgeries, existing conditions, or ongoing treatments.
06
If you have any relevant medical images or reports, mention the availability and provide details on how to access them, whether through a CD, online platform, or direct communication with the referring healthcare provider.
07
In case there are specific requests regarding the scan procedure, such as contrast administration or specific imaging protocols, clearly communicate these to the PET/CT facility.
08
Finally, sign and date the PET/CT request form, ensuring all the required fields have been completed accurately.
Who needs PET/CT request - FRHS?
01
Patients who require a comprehensive assessment of their condition, especially in cases where there is suspicion of cancer, neurological disorders, or cardiac abnormalities.
02
Physicians, including oncologists, neurologists, and cardiologists, who need detailed information to guide their diagnosis, treatment planning, or monitoring of patients.
03
Surgeons or radiation oncologists who require precise imaging data before performing surgical interventions or delivering radiation therapy.
04
Researchers or clinical trial investigators who rely on PET/CT scans to evaluate the effectiveness of new therapies or study disease progression.
05
Insurance companies or healthcare administrators who need to authorize and approve PET/CT scans for their beneficiaries based on medical necessity or coverage policies.
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What is petct request - frhs?
PETCT request - FRHS stands for Positron Emission Tomography Computed Tomography request for Functional Respiratory Health Services.
Who is required to file petct request - frhs?
Medical professionals such as doctors, radiologists, or specialists are required to file PETCT request - FRHS.
How to fill out petct request - frhs?
PETCT request - FRHS should be filled out by providing patient information, medical history, reason for the request, and any relevant clinical findings.
What is the purpose of petct request - frhs?
The purpose of PETCT request - FRHS is to assess and diagnose respiratory health conditions through imaging technology.
What information must be reported on petct request - frhs?
Patient demographics, clinical symptoms, relevant medical history, current medications, and reason for the request must be reported on PETCT request - FRHS.
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