Get Canada Stegh Diagnostic Imaging Requisition Form 2017-2025
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How to fill out the Canada STEGH Diagnostic Imaging Requisition Form online
The Canada STEGH Diagnostic Imaging Requisition Form is an essential document for scheduling diagnostic imaging appointments. This guide provides step-by-step instructions for completing the form online to ensure a smooth and efficient process.
Follow the steps to fill out the form correctly and efficiently.
- Press the ‘Get Form’ button to acquire the document and open it for editing.
- Enter the patient's last name in the designated field, ensuring that it is clear and legible.
- Provide the health card number in the specified section to confirm patient eligibility.
- Input the patient's first name in the appropriate space, following the previous steps.
- Fill in the date of birth (D.O.B.) by using the format YYYY/MM/DD to ensure clarity.
- Include the patient's phone number in the given field for contact purposes.
- In the clinical information section, detail any relevant medical history or prior examinations that support the imaging request.
- Specify the examination requested by indicating the required imaging type, such as X-ray or CT.
- If applicable, input the physician's name and ensure their signature is entered where required.
- Record the date of signing the requisition, again using the YYYY/MM/DD format.
- Complete the appointment details section as directed, if this applies.
- Review all entries for accuracy and clarity before proceeding to save your work.
- Users may then save changes, download a copy for their records, print the completed form, or share it as needed.
Complete your diagnostic imaging requisition forms online today to streamline your healthcare experience.
If further investigation is needed, the doctor might also order blood or other lab tests, or medical imaging. To arrange these tests or imaging exams, your doctor will need to fill out paperwork requesting the specific test or exam and explaining why they are needed. This order is often called a requisition.
Fill Canada STEGH Diagnostic Imaging Requisition Form
The information shared on this page is designed to provide you with all the information you need before coming to STEGH for a diagnostic imaging procedure. Diagnostic Imaging Requisition. Ultrasound. Phone: Ext. 2000. St. Thomas Elgin General Hospital (STEGH)'s diagnostic imaging department is now able to receive DI eReferrals as part of the Ontario eServices Program. All requisitions must be fully completed and contain legible information about the patient, the physician, and the examination(s) requested. Our aim is to provide Accuro and PS Suite EMR users in the South West an up-to-date library of common referral and requisition forms. Program: Diagnostic Imaging Department Open. Organization: St Thomas Elgin General Hospital.
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