TYLER/LONGVIEW X-RAY ORDER FORM
1. Call all orders into the Tyler office at 903-363-9583 (24/7) (365 days)
a. Please let us know if the order is a STAT order
2. Fax the following to 903-617-6208 these documents are required before we can dispatch technician
a. Face Sheet with all demographics for patient
b. Order must include:
i. Body part to be x-rayed with number AND type of views (please reference skeleton diagram)
ii. Reason for ordering exam (i.e. cough, sob, fall)
iii. Reason for PORTABLE exam (please reference portable explanation document)
c. Progress/clinical/communication note to support reason for ordering exam