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Get Ct Scan Of Chest For Lung Cancer Screening Order Form
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How to fill out the CT Scan Of Chest For Lung Cancer Screening Order Form online
Filling out the CT Scan Of Chest For Lung Cancer Screening Order Form online is a straightforward process that requires careful attention to detail. This guide will help users navigate each section of the form to ensure accurate completion.
Follow the steps to complete the order form accurately.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering the patient's name in the dedicated field. Ensure that the name matches their official identification.
- Enter the patient's date of birth in the specified format. This information is critical for scheduling and verifying the screening.
- Provide the patient's home phone number as well as an optional cell phone number for better communication.
- Next, fill in the work phone number of the patient, if applicable. This can assist in contacting them during business hours.
- Submit the identity of the ordering physician along with their phone and fax numbers. Make sure these details are accurate for follow-up communication.
- In the 'Please Check' section, select the appropriate option for the type of CT chest screening required: initial, annual, or follow-up.
- In the 'History' section, provide any relevant medical history or information that could aid in the screening process. Be thorough but concise.
- The physician must sign the form in the designated space, along with the date and time of signing. Stamped signatures are not accepted.
- After filling out the form completely, users can save their changes. Options to download, print, or share the form may also be available to ensure it is sent to the appropriate scheduling department.
Complete documents online to ensure timely lung cancer screening for patients!
A CT scan of the chest can help find problems such as infection, lung cancer, blocked blood flow in the lung (pulmonary embolism), and other lung problems. It also can be used to see if cancer has spread into the chest from another area of the body. A low-dose CT scan is a different type of chest CT scan.
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