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Sherwin C. D Souza, MD 2302 E. Terry, Suite A, Pocatello, ID 83201 www.docdsouza.com PH: (208) 235-5910 Fax: (208) 235-5920 Pt NAME: DEXA Scan Questionnaire NAME: ADDRESS: CITY: STATE: ZIP HOME PHONE:.

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How to fill out the Dxa Patient Questionnaire online

Filling out the Dxa Patient Questionnaire is an important step in assessing your health status related to DEXA scanning. This guide will provide you with clear, step-by-step instructions for completing the questionnaire online so that you can submit accurate and comprehensive information.

Follow the steps to fill out the questionnaire effectively.

  1. Click ‘Get Form’ button to obtain the questionnaire and open it in your selected editor.
  2. Begin by entering your personal information at the top of the form, including your name, address, and phone numbers. Ensure all fields are filled accurately, as this information is crucial for your medical records.
  3. Next, move to the medical history section. Here, you will provide details about your personal history, including your ethnic background and exercise habits. Make sure to answer each question thoroughly.
  4. Continue to the medication history section. List any medications you are currently taking and note any allergies you may have, including reactions to medications.
  5. If applicable, complete the section dedicated to women's health issues, including details related to menstrual history and hormone treatments.
  6. Review your answers for accuracy, ensuring that all required fields are filled out. This step is essential to avoid delays in processing your questionnaire.
  7. Once you have completed the form, you can save changes, download a copy for your records, print it, or share it with your healthcare provider.

Complete your Dxa Patient Questionnaire online today to ensure accurate health assessment and care.

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A Z-score compares your bone density to the average values for a person of your same age and gender. A low Z-score (below -2.0) is a warning sign that you have less bone mass (and/or may be losing bone more rapidly) than expected for someone your age.

DEXA scores are reported as "T-scores" and "Z-scores." The T-score is a comparison of a person's bone density with that of a healthy 30-year-old of the same sex. The Z-score is a comparison of a person's bone density with that of an average person of the same age and sex.

DEXA scans are usually outpatient procedures. There aren't any special preparations needed, except to stop taking any calcium supplements for 24 hours before the test. Wear comfortable clothing. Depending on the body area being scanned, you may have to take off any clothes with metal fasteners, zippers, or hooks.

A T-score within 1 SD (+1 or -1) of the young adult mean indicates normal bone density. A T-score of 1 to 2.5 SD below the young adult mean (-1 to -2.5 SD) indicates low bone mass. A T-score of 2.5 SD or more below the young adult mean (more than -2.5 SD) indicates the presence of osteoporosis.

DXA Scan Results The lower your score, the weaker your bones are: T-score of -1.0 or above = normal bone density. T-score between -1.0 and -2.5 = low bone density, or osteopenia. T-score of -2.5 or lower = osteoporosis.

Your bone density is then compared to the average BMD of an adult of your sex and race at the age of peak bone mass (approximately age 25 to 30). The result is your T score. A T score of -1 to +1 is considered normal bone density. A T score of -1 to -2.5 indicates osteopenia (low bone density).

A T-score of -1.0 or above is normal bone density. Examples are 0.9, 0 and -0.9. A T-score between -1.0 and -2.5 means you have low bone density or osteopenia. Examples are T-scores of -1.1, -1.6 and -2.4.

A bone density scan, also known as a DEXA scan, is a type of low-dose x-ray test that measures calcium and other minerals in your bones. The measurement helps show the strength and thickness (known as bone density or mass) of your bones.

The DEXA Scan is the clinical gold standard for measuring fat, muscle, and bone density. ... The scanner uses this information to create a detailed map of your body and measure your body composition.

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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232