IMAGING/CONSULTATION REQUESTtruescan.com.au/wp-content/uploads/TrueScan-General-Referrals.pdf ·...
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IMAGING/CONSULTATION REQUEST PATIENT EXAMINATION REQUIRED CLINICAL NOTES REFERRING DOCTOR OUR DOCTORS: Dr Lawrence Trieu Dr Joseph Trieu SERVICES: CT Scan (low dose) General X-ray Ultrasound 3D Mammography MSK Interventional Biopsies Dental Scans WorkCover Third Party CC More Request Forms Signature: Date: Dr If patient requiring IV contrast, recent Creatinine level/eGFR: Your doctor has recommended you use TrueScan Radiology. You may choose another provider but please discuss this with your doctor first.
Transcript of IMAGING/CONSULTATION REQUESTtruescan.com.au/wp-content/uploads/TrueScan-General-Referrals.pdf ·...
IMAGING/CONSULTATION REQUEST
PATIENT
EXAM
INATIO
N REQU
IREDCLIN
ICAL NO
TESREFERR
ING
DO
CTO
R
OUR DOCTORS:
Dr Lawrence TrieuDr Joseph Trieu
SERVICES:
CT Scan (low dose)General X-rayUltrasound3D Mammography MSK InterventionalBiopsiesDental Scans
WorkCover Third Party
CC More Request Forms
Signature: Date:
Dr
If patient requiring IV contrast, recent Creatinine level/eGFR:
Your doctor has recommended you use TrueScan Radiology. You may choose another provider but please discuss this with your doctor first.
WHERE TO FIND US
We are here
Cab
ram
atta
Stat
ion
Hill
Stre
et
Mekong ClubDutton Lane
Cabramatta Road
John Street
Hughes Street
Rai
lway
Par
ade
Arthur StreetPark
Roa
d
59 Hill Street, Cabramatta NSW 2166
Tel: (02) 9726 2299Fax: (02) 9726 2399
Monday to Friday: 8:00am to 5:30pm
Saturday: 8:00am to 1:00pm
PATIENT PREPARATION
www.truescan.com.au PLEASE BRING IN ALL PREVIOUS SCANS FOR COMPARISON
