PET-CT REQUEST. PRIOR TO APPOINTMENT FAX OR EMAIL THIS FORM. Ph: 07 4960 4940 Fax: 07 3144 5623. Email: petmackay qscan.com.au.
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How to fill out the PET CT Request FORM - Qscan.com.au online
Filling out the PET CT Request Form is an important step in ensuring that you receive the appropriate imaging procedure. This guide provides a comprehensive overview of each section of the form to assist you in completing it accurately and efficiently.
Follow the steps to successfully complete your PET CT request
- Click ‘Get Form’ button to access the PET CT Request Form and open it in your preferred document editor.
- Begin by filling in the patient details section. You will need to provide the patient’s full name, birth date, contact information, and Medicare number.
- Next, complete the clinical details section. Here, you should include the patient's height, weight, and any relevant medical history such as diabetes or renal impairment.
- Specify the requested PET CT scan. Tick the appropriate box to indicate whether it is for a non-Medicare eligible PET CT scan or provide other specified indications.
- The referring doctor's information must be filled out, including their name and contact details. Ensure this section is completed accurately, as it will facilitate communication regarding the patient's care.
- If applicable, include details about any recent treatments the patient has undergone, such as surgery, radiation therapy or chemotherapy, along with the dates.
- Finally, review the information you have entered for completeness and accuracy. Once reviewed, you can save changes, download the document, print it, or share it as necessary.
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What are the requirements for PET-CT?
These may be different, depending on the specific scan you receive, but preparations often include: Avoid exercising 24 hours before the scan. Follow a special diet for 12 to 24 hours before the scan. Don't drink or eat anything, except water, for 6 hours before the scan.
How do you prep for a PET scan?
Do not eat or drink anything, except water, for 6 hours before the exam. You may drink water, as much water as you can would be helpful, until arrival. Routine medications may be taken, unless you have been instructed otherwise.
What is the cost of a PET scan in Australia?
Do I have to pay for a PET scan? There is no cost for most PET scans if you are a citizen or permanent resident of Australia and covered by Medicare. For a limited number of indications that are not approved by Medicare, there can be a charge to the patient.
Do you need a referral for Qscan?
We accept all referrals including standard or electronic referrals. Multiple files can also be uploaded if required.
Why is a PET scan requested?
Why PET scans are used. A PET scan can show how well certain parts of your body are working, rather than simply showing what they look like. PET scans are particularly helpful for investigating confirmed cases of cancer to determine how far the cancer has spread and how well it's responding to treatment.
Who needs PET-CT scan?
Why it's done. A PET scan is an effective way to help identify a variety of conditions, including cancer, heart disease and brain disorders. Your doctor can use this information to help diagnose, monitor or treat your condition.
What should you avoid before a PET scan?
You should have nothing to eat or drink except water for at least 4 hours before your appointment time. This includes chewing gum, hard candy, breath mints and tobacco products. Please avoid strenuous exercise. should not be taken on an empty stomach can be taken with water and 1 or 2 saltine crackers.
Who Cannot undergo PET scan?
People with allergies and other health conditions a history of allergic reactions to PET scans. allergies. asthma. heart disease. dehydration. the blood cell disorders sickle cell anemia, polycythemia vera, and multiple myeloma. kidney disease.
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