Get Blank Southern Counties Veterinary Specialists Form Im1 Submission Form For Xray Interpretation

Filling out the BLANK SOUTHERN COUNTIES VETERINARY SPECIALISTS Form IM1 Submission Form for X-Ray Interpretation online is a straightforward process that requires attention to detail. This guide will walk you through each section of the form to ensure you complete it accurately and effectively.

Follow the steps to complete your form seamlessly.

1. Press the ‘Get Form’ button to access the submission form and open it in your preferred editing tool.
2. Enter the date of submission at the top of the form. This is important for tracking and reference purposes.
3. In the practice details section, fill in the name of the veterinary practice as well as the contact information, including telephone and fax numbers.
4. For the patient details, provide the owner’s name, their address, and the postcode. Ensure that the information is complete and accurate.
5. Fill in the pet’s name, species (canine or feline), breed, age, color, and sex. Be attentive to accurate input here as it directly impacts the interpretation process.
6. In the clinical history and comments section, summarize any relevant medical history of the pet that may assist the veterinary specialist in their assessment.
7. Indicate if you require an urgent report for the case by checking the appropriate box. If yes, provide the best contact number or email to reach you.
8. Select how you will be submitting radiographic views—digital, films, or via Dropbox DICOM. Input additional details if necessary.
9. Choose whether you require a written report (which incurs a fee) or a verbal report (no charge). Note this in the report required section.
10. Finally, review all filled information for accuracy. Once verified, save your changes or export the form as needed. You can download, print or share the form as required.

Complete your document online today for a smooth experience.