Generic Diagnostic Imaging Requisition

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Generic Diagnostic Imaging Requisition

Description

Created by Adrian Starzynski. A generic diagnostic imaging requisition. Useful to write a diagnostic imaging request so the patient can take to any facility, instead of having to use the specific facility's requisition which takes up time. This eForm works for BC, Ontario, and everywhere else.

Updated Dec 2022 (V2).

This eForm uses signature image file to display the provider's signature.

Attached Files

GenericDiagnosticImagingRequisition.zip

$10

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Version
File Size 3.09 KB
Downloads 289
Files 1
Author Adrian Starzynski
Published January 5, 2022
Updated April 15, 2024