Get Rad Referral Form.06.doc. Oct

Filling out the Rad Referral Form.06.doc. Oct online is a streamlined process designed to facilitate the submission of diagnostic imaging requests. This guide provides clear instructions to help you navigate each section of the form effectively.

Follow the steps to complete the form accurately

1. Click ‘Get Form’ button to obtain the document and open it in your preferred editor.
2. Locate the 'Patient ID' and 'Accession #' fields at the top of the form. These fields are marked for office use only and should be left blank for the referring veterinarian to fill out.
3. In the 'Referring Veterinarian' section, enter your full name, date, clinic name, and mailing address. Ensure that you provide complete information for timely communication.
4. Fill in your clinic's city, state, and zip code, ensuring accuracy in the spelling and postal details to avoid potential delays.
5. In the 'Telephone' section, provide your contact number. If you wish to receive a telephone report, check the appropriate box.
6. Optionally, include your email address in the designated field for additional communication preferences.
7. Provide the 'FAX #' for your clinic, ensuring that it is correctly entered for any necessary correspondence.
8. Complete the 'Owner' section with the pet owner's name, gender, breed, date of birth, and weight. Accurate data here is essential for clear identification.
9. For the 'Examination(s)' section, select the appropriate tests by checking the relevant boxes. If there are other examinations required, specify in the 'Other' field.
10. Detail the 'History, physical, laboratory, and clinical findings' thoroughly, as this information is crucial for the diagnostic process.
11. After filling out all sections, review the document for accuracy. You can then save changes, download, print, or share the completed form as necessary.

Begin filling out your Rad Referral Form online today.