Tag CT

BC, eForms, Imaging, Providence Health Authority, Radiology

Providence Health Care CT Requisition

Providence Health Care Computed Tomography (CT) Requisition eForm Created by Adrian Starzynski Uses Signature Image File for automatic signature Includes faxing

Adrian Starzynski
May 2, 2024

eForms, GTA, Imaging, ON, Outpatient, Radiology, UHN - University Health Network

UHN Medical Imaging CT Request Form

UHN Medical Imaging CT Request Form Toronto UHN, Sinai Health System, Women’s College Hospital Includes faxing as well as automatic signature Created by Adrian Starzynski Code Copyright Adrian Starzynski There is an alternate version also attached “Alternate_UHN_Medical_Imaging_CT_Req.zip” CT requisition for…

Adrian Starzynski
October 24, 2023

eForms, Imaging, ON, Paid Downloads, Radiology, Southwestern Ontario

CT Spine Appropriateness Checklist South West LHIN

CT Spine Appropriateness Checklist South West LHIN / Spine CT Checklist SouthWest LHIN To be attached to CT Requisition if requesting CT scan of spine Includes automatic signature and body drawing diagram (draw with mouse). Created by Adrian Starzynski Code Copyright…

Adrian Starzynski
September 18, 2023

eForms, Imaging, ON, Paid Downloads, Radiology, Southwestern Ontario

CT Requisition South West LHIN

CT Requisition South West LHIN / SouthWest LHIN CT Requisition Includes automatic signature. Created by Adrian Starzynski See: CT Spine Appropriateness Checklist which is to be attached if requesting CT scan of spine Code Copyright Adrian Starzynski

Adrian Starzynski
September 18, 2023

eForms, Imaging, ON, Radiology, Xray

NYGH CT Requisition

North York General Hospital COMPUTED TOMOGRAPHY (CT) REQUISITION created by John Robertson. It will pull the last eGFR and truncates the date of the result so that it does not include the time. Has the ability to create a tickler…