Get X-ray Order Form - Tchealth

Completing the X-Ray Order Form online can streamline your imaging procedure, ensuring that all necessary information is accurately captured. This guide will provide step-by-step instructions to help you fill out the form with ease and confidence.

Follow the steps to complete the X-Ray Order Form efficiently.

1. Click the ‘Get Form’ button to access the X-Ray Order Form. This will allow you to open the form in an online editor where you can input your data.
2. Begin by filling in the patient information section. This may include details such as the patient's full name, date of birth, and contact information.
3. Next, specify the type of X-ray being requested. Review the list of options available, such as abdomen or chest, and select the appropriate checkbox next to the desired procedure.
4. For each selected X-ray, provide the corresponding CPT code if required. Each type of procedure will have its specific code listed next to it.
5. If there are any additional comments or special instructions related to the order, be sure to include those in the comments section provided.
6. Review all entered information for accuracy. Ensure that all relevant fields are completed and that any special instructions are clear.
7. Once you have confirmed that all information is correct, save your changes, and you can choose to download, print, or share the completed form as needed.

Get started with completing your X-Ray Order Form online today!