Requesting cardiac imaging at duke university form 2026

1. Click ‘Get Form’ to open the requesting cardiac imaging at duke university form in the editor.
2. Begin by entering the 'Date' and 'Location' for the imaging request. Ensure that you select the appropriate options for 'WEB-CAL' and 'IDX'.
3. Fill in the patient's details, including their name, MRN, and date of birth (DOB). This information is crucial for accurate identification.
4. Specify the referring/requesting physician's name and contact information to facilitate communication regarding the imaging request.
5. Select the appropriate CPT code from the provided list based on the type of study required. Include any relevant comments or clinical indications for the exam.
6. Answer all clinical questions regarding patient history, such as metal in eyes, pregnancy status, weight considerations, sedation needs, and renal disease.
7. Finally, ensure that a physician signature is included before submitting the form. Review all entries for accuracy.

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