Get Download Diagnostic Imaging Order Form - Vancouver Radiologists ...

This guide provides clear and detailed instructions on completing the Download Diagnostic Imaging Order Form for Vancouver Radiologists. Whether you are a patient or a referring provider, this step-by-step approach will ensure you fill out the form accurately and efficiently.

Follow the steps to complete your form online.

1. Press the ‘Get Form’ button to access the document and open it in your preferred online editor.
2. Begin with the patient information section. Enter the patient's full name, date of birth, phone number, height, and weight in the specified fields.
3. Provide the order date and ensure the insurance information is completed accurately, including the authorization number.
4. Next, fill out the referring provider information. Include their name, office phone number, fax number, and after-hours contact if applicable.
5. Specify the type of exam required by selecting the appropriate option. Make sure to check if contrast is needed for MRI or CT exams.
6. Complete the clinical history section, providing relevant presenting signs or symptoms. Indicate whether there is any pain and describe it if applicable.
7. Indicate if a phone consult is needed or if an urgent preliminary report is required. Choose whether to burn a CD or hold the patient.
8. Once all sections are filled out, review the form for accuracy and completeness. Ensure all necessary information is provided.
9. Finally, save your changes, download the completed form, and either print it or share it as required.

Complete your documents online for a smooth and efficient process.