File name: Radiology Order Form Pdf
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Learn about the advanced imaging services — including PET scans, breast screening and more — through Emory Clinic Radiology. Contact Imaging Scheduling for complete prep instructions. Note: Legacy Imaging does not provide childcare. Please make appropriate arrangements. The radiologists at Radia have developed the following scanning guidelines for our referring providers to assist you in selecting the most efective imaging modality for your patient’s clinical . Generic Radiology Order Form – Fill Out and Use This PDF. A Generic Radiology Order Form is a crucial document designed to standardize the process of ordering various radiological tests and procedures. It contains detailed sections for patient information, medical necessity, and specific radiology services needed, ensuring clear communication. *for myelograms with CT use CT order form ___ XR Hysterosalpingogram __ R __ L ___ GENERAL RADIOLOGY FLUOROSCOPY ULTRASOUND MAMMOGRAPHY/ DEXA. When ordering tests for which Medicare reimbursement will be sought, physicians should order only those individual tests that are necessary for the diagnosis and treatment of a patient, rather than for screening purposes.