Get Central Scheduling Department - Stlukesonline

Filling out the Central Scheduling Department appointment request form online can help streamline your scheduling process. This guide provides step-by-step instructions to assist you in completing the form efficiently and accurately.

Follow the steps to complete your appointment request form online.

1. Press the ‘Get Form’ button to access the appointment request form and open it in your preferred online form editor.
2. Fill in the date and your name in the ‘Requested by’ section, along with your office number, if applicable. This information helps identify who is submitting the request.
3. Provide the name of the ordering health care provider in the designated fields. Be sure to write clearly so that there is no confusion about the requestor.
4. In the patient section, input the patient’s last name, first name, middle initial, date of birth, and contact numbers (home, work, and cell). Ensure that all details are accurate to avoid scheduling errors.
5. Enter the patient's social security number if required, and indicate where to send copies of the appointment if necessary.
6. Specify the required procedure(s) by ticking the appropriate boxes for the listed services such as echo, MRI, or ultrasound. Include any additional instructions or details in the special instructions section.
7. Complete the ‘Dx/symptoms/reasons for each test’ section by providing relevant medical information that justifies the tests. This helps scheduling staff understand the need for the appointment.
8. If sedation is required, indicate the type in the designated section.
9. Provide details for urgent interpretation, including the health care provider's full name and contact information if applicable.
10. Decide on whether the scheduling staff will call the patient or if the patient will call to book their appointment, and note this in the instructions for scheduling staff section.
11. Finally, review all entries for completeness and accuracy. After verifying the information, save your changes and prepare to fax the completed form to the Central Scheduling department at St. Luke's using the provided fax number.

Complete your document online today to ensure an efficient scheduling process!