Get Outpatient Radiology Orders - Ejmd Ejgh

Filling out the Outpatient Radiology Orders - Ejmd Ejgh form online can streamline the scheduling and processing of necessary radiology tests. This guide provides clear, step-by-step instructions to ensure accurate completion of the form for all users, regardless of their prior experience.

Follow the steps to effectively complete your radiology orders online.

1. Press the ‘Get Form’ button to access the outpatient radiology order form and open it in your online document management system.
2. Begin by filling out the patient's information section. Include the last name, first name, middle initial, maiden name, and full address. Make sure to input the date of birth and contact numbers accurately.
3. Provide the insurance information, which includes the insurance company and the authorization number. Remember to attach a copy of the insurance card if required.
4. Select the radiology tests that need to be ordered from the list provided. Indicate the specific procedures and check the applicable options, ensuring that any asterisked procedures are noted if scheduling is necessary.
5. In the physician's section, input the physician’s name and address. Ensure that the physician's signature is included, as it is a required field.
6. Enter the ICD diagnosis code, which is also required for processing your order. Make sure that this is noted correctly to avoid issues with insurance.
7. Review all entries for correctness and completeness. Make any necessary changes before submitting the form.
8. Once the form is complete, you can save changes, download, print, or share the completed document as needed.

Complete your outpatient radiology orders online now for efficient processing.