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MMO





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Note




APPOINTMENT NOTE DATA:






























































Questions

DX:









     

DO YOU HAVE PRIORS?

YES

DO YOU HAVE IMPLANTS?

YES


REMEMBER:

THE PATIENT SHOULD NOT HAVE A MENSTRUAL CYCLE ON THE DAY OF THE MAMMOGRAM APPOINTMENT.


RX ON FILE

TRANSPORTATION 

YES


 

SPECIAL NEEDS
IF THE PATIENT HAS SPECIAL NEEDS THEY MUST HAVE REDUCED MOBILITY AND BE ABLE TO ACCESS THE MACHINE BY THEMSELVES OR WITH THE MINIMAL HELP OF A COMPANION
WHICH SPECIAL NEED?





AWARE OF COMPANION SPECIAL NEED ADULT PERSON WHO CAN DRIVE


YES

PREPARATION

DON'T EAT FOR 5 TO 6 HORAS BEFORE THE EXAM; TAKE MEDICINE WITH MINIMUM OF WATER.
HOW SCHEDULE THIS APPOINTMENT AND EXAM INFORMATION



















The day before the apppointment we will call you
to confirm all this information and copay, if it is necessary.
For transportation: On the day of the appointment we
will call you 60 minutes before to confirm the exact pick up time
Farewells: Is there something else, Can I help you with?.
Thank you for choosing Vital Imaging


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