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DEXA ScanDepartment of Radiology 2026
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- Click ‘Get Form’ to open the DEXA Scan Department of Radiology form in the editor.
- Begin by entering your Visit Number and Department in the designated fields. This information helps identify your appointment.
- Fill in your Name, Sex/Age, and Appointment Date. Ensure accuracy as this data is crucial for your medical records.
- In the Clinical Information section, indicate if the patient is pregnant by selecting 'Yes' or 'No'. If applicable, provide the Last Menstrual Period (LMP).
- Select the type of examination required by checking the appropriate boxes under Plain X-ray / DEXA / Fluoroscopy / Ultrasound. Be specific about which areas need examination.
- Lastly, ensure that a Doctor’s Name & Signature is included along with the Date of Request before submitting the form.
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