Get Screenshot Meaning In Hindi

Filling out the Screenshot Meaning In Hindi form can seem daunting, but this guide will simplify the process for you. Follow the steps outlined below to ensure that you accurately complete each section of the form online.

Follow the steps to fill out the form accurately and efficiently.

1. Click the ‘Get Form’ button to obtain the form and open it in your chosen editor.
2. Enter the referring IRMER practitioner's name in the designated field, ensuring accuracy as it identifies the dental professional making the request.
3. Fill in the practice address with complete information, including street number, street name, city, state, and zip code.
4. Provide the practice telephone number. This ensures easy communication for any follow-ups or inquiries.
5. Input the referring dentist's email address for correspondence related to the request.
6. Enter the patient’s name and address. This section links the imaging request directly to the patient.
7. Record the patient's preferred telephone number for contact and follow-up purposes.
8. Fill out the patient’s email address if further electronic communication is necessary.
9. Input the patient’s date of birth. This information is crucial for accurate patient identification.
10. The patient must agree to the referral by signing their name in the designated area.
11. Check the applicable box for either 'OPG' or 'Sectional 3D scan' based on the imaging requested.
12. Complete the 'Justification for radiograph' section by defining the anatomical area to be scanned, including examples for clarity.
13. Indicate the payment preferences for the visit, choosing between 'Patient to pay at visit' or 'Invoice referring practice'.
14. Select how the patient wishes to receive the imaging, either 'Patient to take image away with them' or 'Send image to referring practice'.
15. Finalize by ensuring the signature of the referring dentist is included, confirming their responsibility for the imaging report.
16. Once all sections are completed, review the form for accuracy. Save changes, download, print, or share the form as needed.

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