DEXA ScanDepartment of Radiology 2026

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The document is a Radiology Request Form used for scheduling various imaging procedures such as X-rays, DEXA scans, fluoroscopy, and ultrasounds at the Radiology Department in Hong Kong. It includes sections for patient information, appointment details, clinical information, and specific imaging requests.

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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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