PLEASE PRINT CLEARLYDiagnostic Imaging Requisition Xray/CT/Mammography/OBSP/BMD Phone: 5196312020 Ext. 2000 Fax: 5196318842 SE# Last Name Health Card# VC First Name D.O.B.YYYY/MM/DDPatient Phone:.

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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.

  1. Press the ‘Get Form’ button to acquire the document and open it for editing.
  2. Enter the patient's last name in the designated field, ensuring that it is clear and legible.
  3. Provide the health card number in the specified section to confirm patient eligibility.
  4. Input the patient's first name in the appropriate space, following the previous steps.
  5. Fill in the date of birth (D.O.B.) by using the format YYYY/MM/DD to ensure clarity.
  6. Include the patient's phone number in the given field for contact purposes.
  7. In the clinical information section, detail any relevant medical history or prior examinations that support the imaging request.
  8. Specify the examination requested by indicating the required imaging type, such as X-ray or CT.
  9. If applicable, input the physician's name and ensure their signature is entered where required.
  10. Record the date of signing the requisition, again using the YYYY/MM/DD format.
  11. Complete the appointment details section as directed, if this applies.
  12. Review all entries for accuracy and clarity before proceeding to save your work.
  13. 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.

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What is an imaging requisition?

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.

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We can all be a part of our community's health care transformation. By supporting STEGH's health care teams with the latest diagnostic imaging equipment - including an MRI - we can support our families and loved ones to recover and be well, close to home.

Thomas-Elgin General Hospital getting its first MRI machine. The St. Thomas hospital is getting its first magnetic resonance imaging machine, part of a $30-million investment by the Ontario government in high-tech imaging services at hospitals across the province.

For women, if possible, do not wear an underwire bra (the metal can throw off the magnetic field). Sports bras are usually good and we have hospital gowns to change into if necessary. The clasps on the back of a regular bra are not a problem, but avoid wearing bras that have metal parts on the straps.

If the patient is unable or unwilling to remove their non-ferrous/non-magnetic dermal piercings prior to scanning then scanning may proceed provided patients are advised to report any unusual sensations or heating in the implant area that occur during MR scanning.

This new investment brings MRI services to St. Thomas-Elgin, making it easier for patients to receive the care they need closer to home. It is part of the government's $30 million investment in the 2021 Budget to support MRI services for patients and add new MRI machines to hospitals across the province.

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