Get Ct Requisition And Prep Form - Wdmh - Wdmh On

This guide provides a comprehensive walkthrough for completing the CT Requisition And Prep Form - WDMH - Wdmh On online. By following these steps, users can efficiently fill out the necessary information, ensuring accuracy and compliance with requirements.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the patient's name and address in the designated fields. Make sure to include the complete mailing address along with the city and postal code.
3. Fill in the date of requisition. It's essential to keep this updated for proper scheduling.
4. Input the patient’s phone numbers for day and evening contact. This is important for scheduling and communication purposes.
5. Select the appropriate status for the patient: out patient, ER, or in patient, and specify the room number if necessary.
6. Fill in the date of birth of the patient and select their isolation type, if applicable, from the provided options.
7. Enter the patient’s OHIP number and indicate if they are WSIB eligible. Collectively confirm if the patient identifies as male or female.
8. Detail the referring physician's information, including their name and contact phone number.
9. Indicate the priority of the requisition. Choose from stat, urgent, semi-urgent, or routine based on the patient’s need.
10. Specify the problem to be investigated, ensuring that the clinical history is documented clearly, since an appointment will not be scheduled without this information.
11. Provide the eGFR or creatinine levels, along with their corresponding dates, if available, which is critical for assessing kidney function.
12. Identify any important patient details, including previous surgeries, allergies, and specific health considerations like diabetes or renal problems.
13. Obtain the physician's signature to validate the requisition before submission.
14. Finally, review all entered data for accuracy. Users can save changes, download, print, or share the form once all sections are completed.

Start completing your CT requisition form online today for a seamless process.