Get Radiologist Report On Chest Xray

Filling out the radiologist report on chest X-ray is an essential process for individuals applying to live temporarily in Samoa. This guide provides step-by-step instructions to ensure that all necessary information is accurately recorded and submitted without complications.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with Part A. Attach a passport-sized photo of the applicant in the designated area. This visual identification will be essential for verification purposes.
3. In Part A, fill out the personal details of the applicant: start with the family name, followed by the given name.
4. Indicate the gender of the applicant by selecting either 'Male' or 'Female'.
5. Enter the date of birth in the specified format to ensure clarity.
6. Specify the intended duration of stay in Samoa, providing a clear answer regarding the length.
7. Under the applicant's declaration, ensure to sign in the presence of the examining doctor to validate the provided information.
8. Proceed to Part B. For the radiographer’s section, fill in the date of the X-ray examination.
9. Indicate whether the applicant is pregnant by selecting 'yes' or 'no'. If there are any special comments regarding the pregnancy or the examination, include those as well.
10. The radiographer must certify the completion of the X-ray by signing the form, ensuring their signature is clearly documented.
11. Move to Part C for the radiologist's section. Select either 'Normal' or 'Abnormal' based on the examination results.
12. Provide a detailed comment on any abnormalities that were observed during the examination. This may include specifics on skeleton and soft tissue, cardiac shadow, and lung fields, among others.
13. Fill out the section regarding evidence of tuberculosis, marking either 'Absent' or 'Present'.
14. Finally, the radiologist must sign alongside their full name and contact number. The address should be printed clearly in the designated area.
15. Once all sections are completed, save changes, download, print, or share the form as necessary.

Complete your documents online today for a smooth application process!