Get Pediatrics Form.pdf - Efw Radiology

Filling out the Pediatrics Form.pdf for EFW Radiology is a crucial step to ensure that your child receives the necessary medical imaging services. This guide will provide step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the Pediatrics Form online.

1. Press the ‘Get Form’ button to access the Pediatrics Form.pdf and open it in your preferred editing tool.
2. Begin by entering the patient information. Fill in the patient name, parent or guardian name, birthdate, and gender. Ensure that all fields are completed accurately.
3. Provide the address, city/province, postal code, and contact numbers (home and cell) for the patient. Also, include the Alberta Health Care number.
4. Input the date and time of the appointment to ensure correct scheduling.
5. In the relevant history section, check all applicable ultrasound types that are relevant to the patient's medical history.
6. Fill out the referring physician information, including the physician's name, signature, phone number, and fax number.
7. Indicate any additional report recipients or how to call for emergency reports.
8. If required, attach the physician stamp in the designated area.
9. Review all completed sections to ensure accuracy. Make any necessary edits before finalizing.
10. Once the form is complete, save your changes, then choose to download, print, or share the form as needed.

Complete your documents online now for a smooth submission process.