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Get Ohsu Physician Order Form For Imaging Services 2023-2026
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How to fill out the OHSU Physician Order Form For Imaging Services online
This guide provides a comprehensive overview of the steps needed to fill out the OHSU Physician Order Form for Imaging Services online. Follow these clear, user-friendly instructions to ensure all required information is accurately completed.
Follow the steps to successfully complete the form.
- Click ‘Get Form’ button to access the OHSU Physician Order Form for Imaging Services and open it in the applicable editor.
- Begin by entering the patient's demographics. Fill in the patient's name, date of birth, height, weight, and phone number.
- Provide the name of the referring physician. Ensure that the signature field is signed to validate the order.
- Indicate the urgency of the imaging request by selecting either ‘URGENT’ or ‘ROUTINE’.
- Enter the ICD-10 code and its description in the specified fields to ensure proper billing and classification.
- Include all additional information that may assist in the imaging process. This could include any special requests or notes relevant to the patient.
- Complete the contact details for both the referring facility and the patient, including phone and fax numbers.
- Specify any procedural needs such as physical assistance or interpreter requirements.
- Document any implants the patient may have, as failure to note these can delay patient care, especially for MRI procedures.
- Select the imaging procedures requested by checking the relevant boxes for MRI, CT, general radiology, ultrasound, or vascular studies.
- Provide answers related to patient preparation as required, ensuring to note any allergies or special conditions.
- Finally, remember to include the clinic mailing address if a physical CD of images is requested and provide FedEx information for expedited mailing, if necessary.
- After completing all sections, save the changes, and choose to download, print, or share the form as needed.
Complete the OHSU Physician Order Form for Imaging Services online today to streamline your patient's imaging process.
OHSU's Diagnostic Radiology residency program is a fully accredited ACGME program. This four-year program is designed to offer an educational experience that encompasses all imaging techniques. Diagnostic Radiology Educational Resources | OHSU ohsu.edu https://.ohsu.edu › school-of-medicine › diagnostic-... ohsu.edu https://.ohsu.edu › school-of-medicine › diagnostic-...