Get the free Angio Interventional Imaging Request - University of Virginia - medicine virginia
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UNIVERSITY OF VIRGINIA HEALTH SYSTEM DEPARTMENT OF RADIOLOGY PLACE LABEL HERE ANGLO/INTERVENTIONAL IMAGING REQUEST FORM Ordering Date Please Fax to (434) 9820887 Schedule at (434) 9249401 SS# IF LABEL
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How to fill out angio interventional imaging request
How to fill out an angio interventional imaging request:
01
Start by filling out the patient's demographic information, including their full name, date of birth, and contact information. This will ensure the imaging results are properly attributed to the correct individual.
02
Provide the relevant medical history of the patient. Include any pertinent details about their condition, previous surgeries, or any contraindications that the imaging technician should be aware of.
03
Specify the type of angio interventional imaging requested. This could be an angiogram, angioplasty, embolization, or any other specific procedure. Clearly indicate the reason for the request and any specific areas or vessels that need to be examined.
04
If any particular imaging equipment or technique is required, include those details in the request. This could include specifying the use of contrast dye, specific imaging modalities (such as computed tomography or magnetic resonance imaging), or any other equipment necessary for the procedure.
05
Indicate the urgency of the request, if applicable. If the imaging is needed urgently, it is important to note this to ensure timely scheduling and prioritization.
06
Include any additional instructions, such as fasting requirements or medication adjustments that may be necessary for the imaging procedure.
07
Finally, ensure that the request is signed and dated by the physician or healthcare provider responsible for the patient's care. This signature validates the request and authorizes the imaging procedure to take place.
Who needs angio interventional imaging request?
01
Patients who exhibit symptoms or have a medical history that indicates potential vascular issues may require an angio interventional imaging request. This can include individuals with unexplained pain, suspected blockages or narrowing of blood vessels, aneurysms, or abnormal blood vessel growth.
02
Individuals who are scheduled for interventional procedures, such as angioplasty, stent placement, or embolization, may need angio interventional imaging to guide the treatment and ensure its accuracy and effectiveness.
03
Physicians, surgeons, and other healthcare providers who require detailed visualization of blood vessels and surrounding structures to aid in diagnosis, treatment planning, and monitoring may request angio interventional imaging. This imaging technique provides real-time and high-resolution images that assist in precise interventions and therapeutic decisions.
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What is angio interventional imaging request?
Angio interventional imaging request is a form requesting a procedure that uses imaging guidance to perform minimally invasive interventions on blood vessels.
Who is required to file angio interventional imaging request?
Angio interventional imaging request is typically filed by healthcare providers or physicians who are recommending or performing the procedure.
How to fill out angio interventional imaging request?
To fill out angio interventional imaging request, one must provide patient information, reason for the procedure, medical history, and any relevant test results.
What is the purpose of angio interventional imaging request?
The purpose of angio interventional imaging request is to diagnose and treat conditions related to blood vessels, such as blockages or aneurysms.
What information must be reported on angio interventional imaging request?
Angio interventional imaging request must include patient demographics, medical history, procedure details, and any relevant imaging results.
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