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Angel Animal Medical Center Diagnostic Imaging Department 350 South Huntington Avenue Boston, MA 02130 Contact Information Phone 6175415139 Fax 6179891617 ABDOMINAL ULTRASOUND REQUEST FORM As a service

How to fill out abdominal ultrasound request bformb

How to fill out an abdominal ultrasound request form?

1. Start by filling out your personal information in the designated fields. This may include your name, date of birth, and contact information.
2. Provide the necessary details about your healthcare provider, such as their name, address, and contact information.
3. Indicate the reason for the abdominal ultrasound request. This could be related to symptoms, medical conditions, or as part of routine check-ups.
4. Specify any relevant medical history or conditions that may be important for the ultrasound technician to know.
5. If you have any specific concerns or questions regarding the abdominal ultrasound, you can mention them in the additional comments section.
6. Finally, sign and date the form to indicate your consent and understanding.

Who needs an abdominal ultrasound request form?

1. Patients experiencing abdominal pain or discomfort that needs further investigation.
2. Individuals with suspected or diagnosed gastrointestinal conditions, such as gallstones, liver disease, or inflammatory bowel disease.
3. Pregnant women to monitor the health and development of the fetus.
4. Those undergoing routine check-ups or screenings for general health maintenance.
5. Individuals with a family history of abdominal or reproductive organ abnormalities.
6. Patients preparing for surgical procedures related to the abdominal area.
7. Individuals with suspected kidney or urinary tract issues that require assessment.
8. People who have experienced trauma or injury to the abdominal region.
9. Patients with suspected tumors or masses in the abdominal area.

It is important to note that the need for an abdominal ultrasound request form may vary depending on individual circumstances and healthcare provider recommendations. Always consult with your physician or medical professional to determine the necessity of an abdominal ultrasound.

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What is abdominal ultrasound request form?

Abdominal ultrasound request form is a medical form used to request an ultrasound examination of the abdomen to diagnose medical conditions.

Who is required to file abdominal ultrasound request form?

Medical professionals such as doctors or sonographers are required to file abdominal ultrasound request form.

How to fill out abdominal ultrasound request form?

Abdominal ultrasound request form is filled out by providing patient information, reason for the ultrasound, and any relevant medical history.

What is the purpose of abdominal ultrasound request form?

The purpose of abdominal ultrasound request form is to request an ultrasound examination of the abdomen to assess organs such as liver, gallbladder, and kidneys.

What information must be reported on abdominal ultrasound request form?

Information such as patient's name, date of birth, referring physician's name, reason for ultrasound, and any relevant medical history must be reported on abdominal ultrasound request form.