Get Seton Radiology Outpatient Ordering Form 2017-2025
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How to fill out the Seton Radiology Outpatient Ordering Form online
Filling out the Seton Radiology Outpatient Ordering Form online is a straightforward process that ensures the necessary information is collected for your radiology appointment. This guide provides comprehensive instructions to help you navigate through each section of the form with ease.
Follow the steps to complete your ordering form online.
- Click 'Get Form' button to obtain the form and open it in the editor.
- Begin by entering the patient's name, date of birth, and social security number in the appropriate fields. Always double-check for accuracy to prevent any delays in processing.
- Next, fill in the patient's phone number and insurance details. This information is crucial for communication and billing purposes.
- Specify the authorization details, including today’s date and time, along with the appointment date and time intended for the radiology service.
- Indicate the diagnosis or reason for the exam along with any applicable ICD codes. This helps the medical team understand the purpose of the examination.
- Include the office phone number and designate who should receive the stat report by filling in both the name and contact numbers.
- Select the appropriate Seton location of service from the provided options. This ensures the order is routed to the correct facility.
- If sedation is required, please check the relevant box. You may also need to specify if a urine pregnancy test is required prior to the exam.
- For the diagnostic radiology tests, check the applicable exams or procedures required. Make sure to note the CPT codes for reference.
- Once all fields are filled out, review the form thoroughly for any errors or missing information.
- Finally, save your changes, download the completed form, and print or share it as necessary for your appointment.
Complete your documents online today to ensure a smooth process for your upcoming radiology appointment.
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Fill Seton Radiology Outpatient Ordering Form
Who needs the Seton Imaging Center Imaging Order Request Instructions? 1. Patients seeking MRI or CT scans require this form to schedule their examinations. Imaging order forms for non-Asante physicians. Fill out these standardized order forms and fax them back to the number provided at the top of the forms. Seton: 1900 Sullivan Ave, Daly City, CA 94015 • . Below is a list of forms that you may find useful for referring your patients to Diagnostic Imaging Centers for their imaging studies. The following forms are provided for health care providers to order imaging exams at all of the Vantage Radiology sites. Please email me a copy of my completed request form. An anal fistula is an abnormal passageway that develops from inside your anus to the skin outside. If you prefer to print and fax the General Order Form, you can download a PDF.
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