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Provider Resources

Ordering 101
Referring Provider Ordering Guide
Mri Cheat Sheet Update
 

MRI Screening Form

MRI SCREENING FORM
Physicians, please download and fill out this form to accompany your patient’s referral for an MRI exam. Your patient may bring this form with them on the day of their exam.

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MRI CPT Code Sheet

CT-CPT-AID

CT CPT Code Sheet

Shared Decision Making Visit

SHARED DECISION MAKING VISIT FORM

Ultrasound Cheat Sheet Update 2022

Ultrasound CPT Code Sheet

Anthrogram ARTHROGRAPHY PATIENT EDUCATION FORM
Shared Decision Making Visit EPIDURAL STEROID INJECTION CRITERIA FORM
Shared Decision Making Visit EPIDURAL STEROID INJECTION INSTRUCTIONS
Myelogram MYELOGRAM PATIENT EDUCATION FORM
Lumbar Puncture Form LUMBAR PUNCTURE ORDER FORMPhysicians, please download and fill out this form to order a lumbar puncture procedure for your patient.
Dotarem DOTAREM MEDICATION GUIDE

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IV Sedation Guide

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X-Ray Code Sheet

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