Tower Radiology Centers script 2025

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  1. Click ‘Get Form’ to open the Tower Radiology Centers script in the editor.
  2. Begin by entering the patient’s name in the designated fields for First, Middle Initial, and Last name.
  3. Fill in the Date of Birth (DOB), Appointment Date, and Time in their respective fields to ensure accurate scheduling.
  4. Indicate any allergies by checking 'NKA' if there are none or listing specific allergies as needed.
  5. Complete the Diagnosis or Signs/Symptoms section by listing up to three relevant conditions or symptoms.
  6. The Ordering Physician section requires you to print the physician's name, signature, and date to validate the request.
  7. Select the appropriate MRI type and any additional exams required by checking the corresponding boxes.

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Rules for Place-of-Service and Address Assignment For example, if a patient undergoes MR as an outpatient at a hospital, but the radiologist interprets the examination in his or her office, the POS code should indicate outpatient hospital (POS 22).
If your radiology exam requires you to fast beforehand and is scheduled for the afternoon, you may have 8 -12 ounces of water around 7:00 AM. Otherwise dont eat, drink, smoke or chew before the exam.
Before the Examination Jewelry including rings, earrings, necklaces, or watches. Pens, pocketknives, and eyeglasses. Credit cards and other cards containing magnetic data. Pins, hairpins, and similar metallic items, which can distort MRI images. Clothing has metal hooks, buttons, zippers, or other metal items on it.
O With all exams, take your usual medications with the minimum necessary water, unless instructed otherwise. O Leave jewelry and watches at home. Wear loose, comfortable clothing. O Let our staff know if you are pregnant or feeding.
Please wear clothing without metal buttons or zips down the centre of the back. If applicable, please do not wear a with metal fastenings. Skirts, tracksuit bottoms and shirts can all be left on during the X-ray.
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For four hours prior to your exam, please do not eat solid foods. You may drink fluids such as water, juice, or black decaffeinated coffee or tea. Some CT scan exams, particularly abdominal CT scans, may require that you drink water or an oral contrast so we may better visualize structures within the abdominal area.

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