Get Peer Review Template Word

The Peer Review Template Word is an essential document in the process of conducting peer reviews within the Illinois Critical Access Hospital network. This guide provides clear and structured instructions to help users complete the template efficiently.

Follow the steps to fill out the Peer Review Template Word online.

1. Click the ‘Get Form’ button to access the Peer Review Template and open it in your preferred online editor.
2. In Part I, begin by indicating the type of review required by checking either 'Routine' or 'Expedited.' Note that expedited reviews necessitate a 5 business day turnaround timeframe.
3. Fill in the requesting hospital's name and address, and provide the contact details for the EPR Coordinator, including telephone and fax numbers.
4. Enter the name of the radiologist assigned to the case, along with the hospital where the radiologist practices.
5. Document the EPRN case number and provide a general description of the radiographic case, including the exam type, exam date, and the reason for the film review.
6. In Part II, the assigned peer review radiologist will fill out this section after reviewing the films. The radiologist should complete the ERPN case number and the date.
7. The peer reviewer must select one of the options regarding their agreement with the written interpretation of the films, and provide comments as necessary.
8. Finally, the peer review radiologist should sign the document, indicate their hospital, and ensure all sections are properly completed.
9. Once all information is accurately filled in, users can save changes, download, print, or share the completed form as needed.

Start filling out your Peer Review Template Word online today to ensure efficient processing and collaboration.