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MAMMOGRAM/DEXA SCAN REFERRAL FORM This request for service must accompany the patient at the time of service. Elective Routine Urgent Emergency within 24 hours PATIENT INFORMATION Patient Name (Last,.

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A breast ultrasound is most often done to find out if a problem found by a mammogram or physical exam of the breast may be a cyst filled with fluid or a solid tumor. Breast ultrasound is not usually done to screen for breast cancer. This is because it may miss some early signs of cancer.

Wear loose fitting clothing. Avoid clothing that has metal or other clothing fasteners like buttons or zippers over the areas to be measured. You can be given a gown to wear if this is not possible. Avoid having any barium studies done 2 to 3 days before the bone density test.

This exam requires little to no special preparation. Tell your doctor and the technologist if there is a possibility you are pregnant or if you recently had a barium exam or received an injection of contrast material for a CT or radioisotope scan. Leave jewelry at home and wear loose, comfortable clothing.

In the U.S., about 10-12 percent of women are called back after a mammogram for more tests. It's always a good idea to follow up with your doctor about what to do next. The most likely next step is a diagnostic mammogram or breast ultrasound. In some cases, a breast MRI or a biopsy may be recommended.

You should not take calcium supplements for at least 24 hours before your exam. You should wear loose, comfortable clothing, avoiding garments that have zippers, belts or buttons made of metal. Objects such as keys or wallets that would be in the area being scanned should be removed.

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 bone density scan is a quick and painless procedure that involves lying on your back on an X-ray table so an area of your body can be scanned. No special preparations are needed. You may be able to remain fully clothed, depending on the area of your body being scanned.

Do not wear jewelry, hearing aids, belt buckles, zippers, snaps, or buttons. Females should wear a sports bra. Bras with under wires will need to be removed. It is okay to eat anytime before or after the exam.

DEXA scan. A DEXA scan measures bone mineral density. Short for dual-energy X-ray absorption, the DEXA scan helps the doctor evaluate bone health and determine the likelihood of osteoporosis or bone fractures. This scan also may help detect whether cancer has metastasized, or spread, to the bones.

Often, it just means more x-rays or an ultrasound needs to be done to get a closer look at an area of concern. Getting called back is more common after a first mammogram, or when there's no previous mammogram to compare the new mammogram with. It's also more common in women who haven't gone through menopause.

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© Copyright 1997-2025
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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
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232