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How to fill out the Advanced Patient Imaging online
Filling out the Advanced Patient Imaging form is essential for ensuring that patients receive the necessary MRI procedures. This guide will offer a clear, step-by-step approach to completing the online form efficiently.
Follow the steps to complete the Advanced Patient Imaging form online.
- Press the ‘Get Form’ button to access the document and open it for editing.
- Enter the appointment date and time in the designated fields. If you need to reschedule or cancel, please provide at least 24 hours' notice.
- Fill in the referring physician's name, clinic or office, phone number, and fax number in the specified sections.
- Input the patient's name, including last name, first name, and middle initial in the appropriate fields.
- Provide the patient's date of birth in MM/DD/YYYY format, along with their age and weight.
- Enter the home phone number of the patient in the provided space.
- For the requested MRI order, check all applicable boxes. If the MRI requires contrast, ensure that necessary lab work to verify creatinine levels is indicated for the specified patient conditions.
- Specify the area for the MRI by checking the relevant boxes, including options for brain, spine, joints, and additional areas if needed.
- Provide clinical indications in the designated area, detailing the reasons for the MRI request.
- Choose the delivery method for the report by indicating whether to fax or email, and provide the appropriate contact information.
- Ensure that there is a physician's signature and date filled in at the bottom of the form.
- Once all information is filled out, users can save their changes, download a copy, print the document, or share it as needed.
Complete your Advanced Patient Imaging form online today for a smooth and effective MRI scheduling process.
To submit to the Journal of Imaging Informatics in Medicine, you must first prepare your manuscript according to their specific guidelines. Follow the detailed instructions available on their website for formatting and submission requirements. Utilizing advanced patient imaging techniques can enhance your research and its relevance in the field, and including appropriate citations can increase your paper's impact. After preparing your submission, upload it via their online portal for evaluation.
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