Get Pulmonary Function Order Form

Filling out the pulmonary function order form online is an essential step in initiating diagnostic testing for respiratory conditions. This guide will provide clear instructions to help you navigate each section of the form effectively.

Follow the steps to complete the form accurately and efficiently.

1. Press the ‘Get Form’ button to access the order form and open it in a compatible editor.
2. Begin by entering the patient's name along with their date of birth and phone number in the provided fields. Accurate information is crucial for identification and follow-up purposes.
3. In the 'Studies Requested' section, check the appropriate boxes for the tests being ordered, including options for spirometry, respiratory mechanics, and full pulmonary function testing. Ensure that you select all that are relevant to the patient's needs.
4. Under 'Reason for Test,' indicate the primary reason for the pulmonary function test by checking all that apply. Include any specific conditions or symptoms such as asthma, chronic bronchitis, or dyspnea, and make sure to note any other relevant details in the space provided.
5. If applicable, specify any precautions that should be considered, such as the presence of active infections. This information ensures appropriate measures are taken during the testing process.
6. Indicate the urgency of the request by selecting either routine, none, or urgent. This will help prioritize the testing schedule.
7. Complete the ordering physician's information by providing their name, phone number, fax number, and signature along with the date. This section confirms the authorization for the tests to be conducted.
8. Once all fields are completed accurately, review the form for any errors and make necessary corrections. After confirming all information is correct, save the changes, download the completed form, or print it for distribution as needed.

Complete your pulmonary function order form online today and ensure proper respiratory health management.