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IMAGING REQUEST www.marinaradiology.com.au. Date ... Follow up appointment with referring doctor: Date: Time: O Patient ID verified (3 forms) OProcedure.

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How to fill out the Marinaradiology Com Au online

This guide provides you with step-by-step instructions on how to fill out the Marinaradiology Com Au form online. By following these steps, you can ensure that all required information is accurately entered, facilitating a smooth imaging request process.

Follow the steps to complete your imaging request form effectively.

  1. Press the ‘Get Form’ button to access the online form and open it in your document editor.
  2. Begin by entering the patient's name in the designated field. Ensure to provide the correct first and last name.
  3. Fill in the date of birth accurately to confirm the patient's identity.
  4. Enter the patient's home address along with their mobile number to ensure updated contact information.
  5. Input the Medicare number in the field provided; this is essential for billing purposes.
  6. Describe the clinical details relevant to the imaging request. Be concise but thorough to help the medical professional understand the context.
  7. Select the examination requested from the options available, such as MRI or CT scanning, by checking the appropriate box.
  8. If applicable, complete the section on referring doctor details, including their name and contact information.
  9. Specify any preferences for how results should be received, selecting from options like secure email, phone report, or fax.
  10. In the final check section, confirm patient identification, procedure, and consent. Ensure that all necessary confirmations are ticked.
  11. Review the entire form for accuracy. Once satisfied, you can save the changes, download, print, or share the completed form as needed.

Complete your imaging request form online today for convenience and efficiency.

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Marina Radiology - Chelsea Heights...
Aug 24, 2017 — Website: http://marinaradiology.com.au; Phone: (03) 9773 4411; Parent...
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