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Get Department Of Radiology Ct Request Form - Radiology Vcu
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How to fill out the DEPARTMENT OF RADIOLOGY CT REQUEST FORM - Radiology Vcu online
Filling out the DEPARTMENT OF RADIOLOGY CT REQUEST FORM online can streamline the process of requesting a CT scan for patients at Radiology Vcu. This guide will provide you with detailed instructions on how to accurately complete each section of the form.
Follow the steps to successfully complete the CT request form.
- Click ‘Get Form’ button to obtain the form and open it in the online editor.
- Enter the date in the format Date____/____/________ at the top of the form.
- Fill in the patient’s name in the designated field. Ensure accuracy to prevent any delays.
- Provide the medical record number (MR #), date of birth (DOB), age, height, weight, and gender of the patient in their respective fields.
- Select the location where the exam will be performed. Options include MCV Campus or Stony Point Medical Center.
- Complete the insurance section by writing the insurance name and pre-authorization number if available. Indicate whether to bill insurance by selecting 'Yes' or 'No'.
- Specify the study requested along with the diagnosis, indications, and reason for the study in the provided space. Include any additional information desired from the exam.
- Choose the type of scan needed by checking the appropriate boxes for the body sections listed, such as abdomen, chest, or head.
- Indicate whether contrast is needed for the scan by checking the corresponding box (e.g., with contrast, without contrast).
- Answer the questions regarding the patient's ambulatory status, current medications, diabetic status, allergies, sedation, and anesthesia preferences.
- For appointment information, fill in the appointment date, time, location, and the name of the person making the appointment.
- Obtain the referring physician's name, signature, and contact information as required for scheduling.
- Review all entries for accuracy and completeness before proceeding to save changes. Finally, download, print, or share the completed form as needed.
Ensure a smooth process by completing the DEPARTMENT OF RADIOLOGY CT REQUEST FORM online today.
Getting a radiology appointment at VCU often depends on the type of imaging needed and current availability. Generally, patients can expect to schedule an appointment within a week or two, depending on the demand. If you require a specific procedure, such as a CT scan, another option is to use the DEPARTMENT OF RADIOLOGY CT REQUEST FORM - Radiology Vcu for efficient scheduling.
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