Follow the steps to effectively fill out the Tower Radiology Centers Script online.

1. Click the ‘Get Form’ button to obtain the Tower Radiology Centers Script and open it in your preferred editing tool.
2. Provide the patient’s full name in the designated fields for First Name, Middle Initial, and Last Name.
3. Enter the date of birth in the specified field to validate the patient's identity and age.
4. Specify the appointment date and time for the examination.
5. Indicate if the results should be delivered via CD or film, and include any necessary details for the fax urgent report.
6. List any known allergies, ensuring to check 'NKA' if there are none.
7. Fill out the patient's BUN and creatinine levels if applicable.
8. Document the diagnosis or signs/symptoms relevant to the examination, providing as much detail as necessary.
9. Enter the ordering physician’s name and print their details in the designated fields along with their signature and the date.
10. Select the type of MRI procedure needed, checking the appropriate box for either high field or open MRI and for the specific body part to be examined.
11. Complete the additional details for special exams if required.
12. Review all entries for accuracy before finalizing your submission. You can then save changes, download the completed form, print it, or share it as needed.

Complete your Tower Radiology Centers Script online today to ensure timely scheduling and accurate preparations for your radiologic examination.