Get Inhealth Imaging

Completing the Inhealth Imaging request form is a straightforward process that ensures the necessary imaging examinations are properly justified and documented. This guide will provide step-by-step instructions to help you fill out the form accurately and efficiently.

Follow the steps to complete the Inhealth Imaging request form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the patient's name and address in the designated fields. Make sure the information is accurate and reflects their current details.
3. In the referrer’s declaration section, confirm that the correct patient details have been entered. Check the box if you have discussed the examination with the patient or their guardian, and ensure all necessary information is provided.
4. Fill in the patient's date of birth, hospital number, postcode, work number, and home number. These details are crucial for proper identification.
5. Indicate whether the patient is pregnant or breastfeeding. Complete the section regarding any history of allergies and other relevant medical information.
6. Specify the areas to be imaged and the examination requested, including any necessary clinical details such as previous surgeries or current medications.
7. Ensure the signature fields are completed. The doctor must sign, followed by the patient signing to confirm consent to the examination.
8. If applicable, fill out any previous imaging history and indicate the appointment time. This helps provide context to the imaging request.
9. Once all fields are filled, review the form to ensure accuracy. After making any necessary changes, users can save the changes, download, print, or share the completed form.

Complete your Inhealth Imaging request form online today for prompt processing.