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X-RAY TECHNOLOGIST INTERVIEW FORM Patient s Name: Age: Weight: lbs. Are you Pregnant? Yes No Sex: M or F Date of onset of Last Menstrual Period? Are you here as a result of a Car Accident? Yes No.

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How to fill out the X-ray technologist interview form - River Radiology online

Completing the X-ray technologist interview form for River Radiology is an essential step in receiving appropriate care. This guide provides clear and detailed instructions for filling out the form online, ensuring that users can provide accurate and necessary information with ease.

Follow the steps to effectively complete the form.

  1. Click 'Get Form' button to access the form and open it in your preferred online editor.
  2. Begin by entering the patient's name at the top of the form. This ensures that the records are correctly attributed.
  3. Next, fill in the patient's age and weight in the designated fields. This information is critical for medical evaluations.
  4. Indicate whether the patient is pregnant by checking either 'Yes' or 'No'. This is significant for determining appropriate imaging techniques.
  5. Select the patient's sex by marking the appropriate option. Options will typically include male and female.
  6. Record the date of the patient's last menstrual period, as this may impact medical assessment.
  7. Specify if the visit results from a car accident or work accident by checking 'Yes' or 'No' as applicable.
  8. Indicate smoking status by checking 'Yes' or 'No'. This information can affect medical decisions.
  9. Check any past diseases or current treatments. For significant conditions such as cancer and hereditary diseases, specify details where indicated.
  10. If applicable, document any previous X-rays or studies of the same body part, including the facility name and date of service.
  11. Provide a description of the present complaint or problem in the provided section. Include when it started and the doctor’s opinion on the cause.
  12. Use the figures provided to indicate specific areas of pain or discomfort by shading them appropriately.
  13. Fill in the script diagnosis and referring physician's name as necessary.
  14. Finally, the patient must sign and date the form. A review section for technologist notes should be left blank for the technician's use.
  15. Once all sections of the form are filled out, save changes, download, print, or share the completed document as needed.

Complete your document online today and ensure a smooth process for your X-ray appointment.

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