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XRAY REFERRAL FORM Please note we are unable to accept referrals for patients under 18 years of age PATIENT NHS Number Forename Surname Address NHS number Forename Surname Patient address house Patient.

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Include relevant clinical details in an imaging referral – including signs, symptoms and location of pain, provisional diagnosis, the clinical question being addressed, and red flags for particular conditions.

Imaging technology is the application of materials and methods to create, preserve, or duplicate images. Imaging science is a multidisciplinary field concerned with the generation, collection, duplication, analysis, modification, and visualization of images, including imaging things that the human eye cannot detect.

Structure your requests. A good structure will help you and the radiologist. When you refer to another specialty, you include the patients age, their presenting complaint, key history and important past medical history and examination findings as well as any blood test results or previous imaging in your letter.

A referral is a letter that a doctor or referring clinician writes to a scanning centre, to tell them: details about the patient, their medical history, and their condition. why the scan is needed. ideas about what the problem might be (if possible), to help the radiologist focus on that when interpreting the images.

Your doctor's order can help you get a scan when needed. The timing for your CT scan, MRI or x-ray depends on the imaging center's schedule. Most imaging centers will work with your physician and insurance provider to ensure the necessary documentation is acquired before setting dates and appointments.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232