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Patient Service Center - Valley Baptist Medical Center - valleybaptist 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the patient’s name and date of birth in the designated fields. This information is crucial for identifying the patient.
- Fill in the exam appointment date and time to ensure accurate scheduling.
- Provide a detailed diagnosis and clinical history in the respective sections, as this information is essential for medical staff.
- Complete the allergies section, indicating any known allergies, particularly to iodine, which is vital for contrast studies.
- If applicable, fill out the BUN and Creatinine lab values required for IV contrast studies. Ensure you note the date drawn.
- Select any necessary lab orders from the provided list, ensuring all required tests are included.
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