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Bridge road imaging 2026
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- Click ‘Get Form’ to open the bridge road imaging document in the editor.
- Begin by filling out the 'Patient Details' section. Ensure you complete all mandatory fields marked with an asterisk, including your name, date of birth, address, and contact numbers.
- Next, provide your Medicare and concession card details if applicable. This information is crucial for processing your request.
- In the 'EOS Imaging Request' section, select the type of X-ray you require by checking the appropriate boxes. You can choose from options like Full Body Length or Full Spine and Pelvis.
- Complete the 'Referrer Details' section by entering your referring doctor's provider number, name, specialty, and contact information. Don't forget to include their signature and date.
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