Get Ct Order - Borgess Health

Filling out the CT Order for Borgess Health online can streamline the scheduling process while ensuring that all necessary information is provided. This guide will walk you through each section of the form to help you complete it accurately and efficiently.

Follow the steps to fill out the CT Order form effectively.

1. Click the ‘Get Form’ button to access the CT Order form and open it for editing.
2. Enter the patient's name in the designated fields: Last name, First name, and Middle Initial. Include any maiden or previous names if applicable.
3. Input the patient’s birth date and select their sex by marking 'M' for male or 'F' for female.
4. Select the appropriate location for the appointment from the list provided, such as Borgess Brain & Spine Institute or Borgess Health Park.
5. Fill in the physician's name and contact phone number, ensuring all details are correct.
6. Specify the requested appointment date and time to facilitate scheduling.
7. Include the consultant's name and contact number to provide additional context for the appointment.
8. Record the narrative diagnosis code description and the patient's address, as this information may be necessary for the procedure.
9. Check any relevant medical history boxes that apply to the patient, including allergies or conditions like asthma or diabetes.
10. Indicate if the CT exam requires contrast, and specify if the patient does not want contrast by checking the appropriate box.
11. Select the type of CT exam needed from the detailed list provided, ensuring to check all applicable options.
12. Carefully review all entered information for accuracy before proceeding.
13. Once completed, save any changes made to the form, and use the options to download, print, or share the document as needed.

Complete your CT Order - Borgess Health online to ensure efficient scheduling and processing.