Get Radiology & Lab Referral Form - Ohsu

Filling out the Radiology & Lab Referral Form - Ohsu online can streamline the process of scheduling imaging services. This guide will walk you through each section of the form to ensure that you provide all necessary information accurately and efficiently.

Follow the steps to complete the form effectively.

1. Use the ‘Get Form’ button to access the Radiology & Lab Referral Form - Ohsu and open it in your preferred document editor.
2. Begin by entering the patient's information. This includes the patient's name, date of birth, phone number, ICD 9 code, and authorization number. Ensure that all fields are filled out accurately.
3. In the requesting physician information section, provide the name of the referring physician and their signature if required. Also, specify how you would like the results to be sent: via email, fax, or phone.
4. In the exam section, write down the specific type of exam requested. Use the provided options to denote any special requests or additional information pertaining to the imaging required.
5. Select the focus area for the imaging procedure. Options may include MRI, CT, ultrasound, mammogram, and others as applicable. Be sure to specify any details such as ‘with contrast’ or ‘without contrast’ where relevant.
6. Follow the patient preparation instructions carefully. Ensure to note any specific requirements or follow-up calls that may be necessary based on the type of imaging procedure chosen.
7. Before submitting your form, review all sections to ensure they are completed accurately. Check for any missing information and correct any errors if necessary.
8. After reviewing the form, you can save changes to your document, download a copy for your records, print the form if needed, or share it with the relevant parties.

Complete your forms online today to ensure efficient processing and scheduling of radiology services.