How to use or fill out UW ESC rad order form v6-15-15 - UW Medicine with DocHub
- Click ‘Get Form’ to open the UW ESC rad order form v6-15-15 in our editor.
- Begin by filling out the 'Patient Information' section, including the patient's name, date of birth, and insurance details. Ensure accuracy for seamless processing.
- In the 'Referring Provider Information' section, enter your name and contact number. This is crucial for follow-up communications regarding the order.
- Indicate any allergies and urgency level by selecting options such as 'STAT' or 'Routine'. This helps prioritize patient care effectively.
- For 'Exam Information', provide a brief history or reason for the exam along with any special requests. Fill in the appropriate ICD-10 codes if applicable.
- Select the type of imaging required (e.g., CT, MRI) and specify any contrast requirements. Be sure to check all relevant boxes for accurate processing.
- Finally, review all entered information for completeness before signing and submitting the form through our platform.
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