Get Au Adelaide Mri Gp Request Form 2021-2025

Completing the AU Adelaide MRI GP Request Form online is a straightforward process that ensures you provide all necessary information for medical imaging referrals. This guide will walk you through each section of the form, helping you fill it out accurately and efficiently.

Follow the steps to successfully complete the form online

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Fill in the patient details, including the patient name, address, date of birth, and contact numbers (both home and mobile). Ensure the Medicare number is provided accurately.
3. In the consultation and opinion section, select the imaging procedures required by marking the appropriate box or boxes, such as X-ray, ultrasound, MRI, or CT.
4. Provide the clinical details that support the referral. Be clear and concise, ensuring relevant information is included to justify the request.
5. Enter the referring doctor's information, including their address, provider number, and contact details for any follow-up communications.
6. Ensure the signature field is completed to authorize the request. This may require the referring doctor to sign electronically if the system allows.
7. Specify any additional details for the results, such as a fax or mobile number for urgent results and whether you require copies to be sent to other healthcare providers.
8. If applicable, indicate any extra services needed, such as plastic film or specific tests requested, and include creatinine levels if necessary.
9. Review all entered information for accuracy before saving your changes. Once confirmed, you can download, print, or share the completed form as necessary.

Complete your AU Adelaide MRI GP Request Form online now for a seamless medical imaging referral process.