Get Seton Radiology Outpatient Ordering Form 2017-2026

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.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. 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.
3. Next, fill in the patient's phone number and insurance details. This information is crucial for communication and billing purposes.
4. Specify the authorization details, including today’s date and time, along with the appointment date and time intended for the radiology service.
5. 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.
6. Include the office phone number and designate who should receive the stat report by filling in both the name and contact numbers.
7. Select the appropriate Seton location of service from the provided options. This ensures the order is routed to the correct facility.
8. 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.
9. For the diagnostic radiology tests, check the applicable exams or procedures required. Make sure to note the CPT codes for reference.
10. Once all fields are filled out, review the form thoroughly for any errors or missing information.
11. 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.