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Ohsu imaging order form

Ohsu imaging order form 2026

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The document is a Physician Order Form for Imaging Services at OHSU, detailing patient and physician information, various diagnostic imaging exams available (such as MRI, CT, and Ultrasound), preparation instructions for patients, and contact information for scheduling and inquiries. It emphasizes the importance of patient preparation and provides guidelines to ensure proper care.

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Click ‘Get Form’ to open the ohsu imaging order form in the editor.
Begin by entering the date at the top of the form. This is essential for tracking and scheduling purposes.
In the 'PATIENT INFORMATION' section, fill in the patient's name, date of birth, phone number, ICD 9 code, and reason for the exam. Ensure all fields are completed accurately.
Next, provide authorization details and specify whether the patient will call to schedule or if they should be contacted directly.
In 'REQUESTING PHYSICIAN INFORMATION', enter the referring physician's name and signature. This validates the order.
Select the appropriate exams from the list provided. You can check multiple options as needed.
Review any special preparation instructions listed at the bottom of the form to ensure compliance before scheduling.

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Versions	Form popularity	Fillable & printable
2023	4.7 Satisfied (54 Votes)
2010	4.9 Satisfied (33 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Can you get imaging without a referral?

MRIs, CT scans and x-rays are important procedures for people with concerning health issues. While there are some instances where you could get one of the imaging tests done without a referral, at most medical facilities, you will need a referral for CT scans, x-rays and MRIs.

How do I get my radiology report?

Typically, the radiologist sends the report to the person who ordered your test, who then delivers the results to you. Many patients can now access their electronic health records online immediately, including most radiology reports.

Does health insurance pay for imaging?

If your insurance plan has a preferred provider network, you will be required to choose an imaging center within that network to have your imaging study covered by insurance. If you choose a provider outside the network, you may pay a larger portion or the entire cost the imaging study.

How long are medical imaging orders good for?

An X-ray order is typically valid for 30 to 90 days, depending on the healthcare setting and specific institutional policies. This period ensures the imaging is relevant to the patients health. Verifying the specific validify period with the healthcare facility or referring physician is essential.

How do I get my medical imaging?

Your image files are typically stored at the facility where you had your exam. When you request your medical images, you will need to sign a release form. The images will typically be available as: printed photos (also known as radiology films).

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