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CT Patient Questionnaire Patient Name: Date of Study: Physician: DOB: Age: General Medical History Reason(s) for todays exam: Do you have a history of cancer? If so, what type(s)? Do you have any.

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Your doctor's order can help you get a scan when needed. The timing for your CT scan, MRI or x-ray depends on the imaging center's schedule. Most imaging centers will work with your physician and insurance provider to ensure the necessary documentation is acquired before setting dates and appointments.

General practice teams are currently able to directly access tests for patients in several imaging modalities, including ultrasound, X-ray, computerised tomography (CT) and magnetic resonance imaging (MRI).

Chronic back pain or an injury to the spine are among the most common reasons to have a CT scan. A doctor may also order a spinal CT scan to: Evaluate spinal fractures. Assess the condition of the spine before and after surgical procedures.

Whilst not as relevant for MRI scans, self-referral for CT scans could result in unnecessary or excessive exposure to ionising radiation. Proper evaluation by a healthcare provider is used by an imaging department to justify the radiation exposure.

Your doctor may recommend a CT scan to help: Diagnose muscle and bone disorders, such as bone tumors and fractures. Pinpoint the location of a tumor, infection or blood clot. Guide procedures such as surgery, biopsy and radiation therapy.

Typically a CT scan appointment will last approximately 15 minutes. For a CT scan with oral contrast, it could take up to 1 hour and 15 minutes. If you are receiving CT scan IV contrast, do not eat or drink 4 hours prior your exam.

CT request forms are a key method of communication between physicians and radiologists. They are used to request a CT scan with a subsequent report from a specialist in radiology, often to aid in making a diagnosis.

A computed tomography scan or CT scan, is a test often ordered by physicians to check for a variety of health conditions. It uses a combination of computerized technology and x-rays to create a visual of a patient's bones, organs and other body tissues.

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© Copyright 1997-2025
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
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