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Get Radiology Request Form Sloane Diagnosti C Imaging
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How to fill out the Radiology Request Form Sloane Diagnostic Imaging online
Filling out the Radiology Request Form at Sloane Diagnostic Imaging is a straightforward process. This guide will walk you through each section and field to ensure a smooth experience in submitting your request online.
Follow the steps to complete your radiology request form accurately.
- Press the ‘Get Form’ button to obtain the radiology request form and open it in your preferred editing tool.
- Begin by selecting the type of examination needed. You can choose from X-ray, CT, Ultrasound, or MRI by ticking the appropriate box.
- Fill in the patient's details including their name, title, date of birth, and gender (male or female). Make sure to provide an accurate address and postcode for effective communication.
- Enter the relevant telephone numbers. Include home, in-patient, and work numbers, as well as the ward if applicable.
- Specify the name of the hospital where the patient is being treated along with their hospital number and associated telephone number.
- Identify who is responsible for the patient's account by selecting either the patient, another party, or NHS.
- For MRI patients, make sure to note any contraindications such as intra-orbital foreign bodies or pregnancy, as this information is crucial for safety.
- Provide clinical information as required. This is mandatory to proceed with the examination as per Ionising Radiation Medical Exposure Regulations 2000.
- Obtain the referring clinician's signature and date it. Include their name, telephone number, and address for report purposes.
- If the patient is female and between 12-55 years old, indicate if they are pregnant by marking ‘Yes’ or ‘No’.
- Complete the radiographer's section, providing the operator's name, billing code, dose, the reporting radiologist, and the date of the scan.
- After ensuring all sections are filled in accurately, save your changes. You can then download, print, or share the form as needed.
Complete your radiology request form online today for a hassle-free experience.
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