Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to obtain the form and open it in your chosen document editing platform.
2. Begin filling out the patient information section. Enter the patient's name and telephone number. Make sure all entries are clear, as this information is essential for scheduling and contact purposes.
3. In the diagnosis section, indicate the symptoms or reasons for the radiology order. Check the appropriate box to describe the patient's condition, such as 'Pain' or 'Trauma.'
4. Select the order priority by checking one of the options: 'STAT (Wet Reading),' 'Routine,' or 'Trauma.' This helps the scheduling team prioritize the order effectively.
5. Move to the 'Scheduled Exams' section. For each required diagnostic procedure, such as X-ray or ultrasound, check the appropriate boxes, specifying the body part involved, and indicate which side (right, left, or bilateral) is needed.
6. For any additional tests or imaging, use the provided section to specify the tests needed, making sure to circle one where applicable.
7. Complete the patient's age and date of birth to ensure the medical necessity for the procedure is documented.
8. Finish by filling in the physician's information at the end of the form. The ordering physician must print their name and then sign the document to confirm the accuracy of the information provided.
9. Once all sections are filled out, review the form for accuracy. After confirming all details are correct, you can save the changes, download, print, or share the completed form as needed.

Start completing the Abington X Ray Blair Mill Road form online today for a smooth scheduling experience!