Your Appointment HOURS Monday to Friday: Bookings: 02 9487 9840 Mobile:
Facsimile: 02 9487 9845 CARDIAC CT www.sanradiology.com.au MEDICARE ELIGIBLE (SPECIALIST REFERRAL ONLY) CT Coronary Angiography
❏ The patient has stable symptoms consistent with coronary ischaemia,
is at low to intermediate risk of coronary artery disease and would
have been considered for coronary angiography.
❏ The patient requires exclusion of coronary artery anomaly or fistula.
❏ The patient will be undergoing non-coronary cardiac surgery. Your doctor has recommended that you use this imaging NON MEDICARE ELIGIBLE provider. However, you may CT Coronary Angiography choose your own imaging provider. If you choose another
❏ Other eg. GP Referral and/or does not comply with the item number
imaging provider please discuss this with your doctor. Calcium Score ❏ Calcium Score. CLINICAL HISTORY USE Sticker * Contraindication for beta blocking? Yes/No
Address:Phone/Fax:Provider Number:Doctor’s Signature:
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PRACTICE PROCEDURE LIST EXAMINATION PREPARATIONS FOR PATIENTS
Please note that some examinations, including interventional
Dual Source Multislice CT
radiology require special preparation. Please check when
Digital X-ray Cardiac CT: No food or coffee prior to appointment, unless Digital Mammography
diabetic. Maintain normal fluid intake. Take all regular medications with the exceptions of Viagra, Levitra & Cialis Image Guided Biopsy (cease 3 days prior to scan). Ultrasound DIABETIC PATIENTS: Vascular Ultrasound Medication: If you take ANY medication to control your diabetes, you must let us know when you make your
appointment. If special instructions are required for non ionic contrast procedures, a Radiology Nurse will contact you. Breast MRI Well-controlled diabetes: For examinations requiring you to fast, book the earliest appointment possible, have a light Interventional Radiology
breakfast and bring morning tea with you for after your test. Dedicated San Radiology Unstable/Insulin dependent diabetes: Continue your usual patient parking is available
diet treatment and monitor your diabetes carefully.
IF YOU REQUIRE A CONTRAST INJECTION, PLEASE MONITOR YOUR DIABETES CAREFULLY FOR 48 HOURS AFTER YOUR EXAMINATION. CONSULT YOUR DOCTOR IF YOU BECOME CONCERNED. PLEASE REMEMBER TO BRING THIS REQUEST FORM AND YOUR PREVIOUS FILMS TO YOUR APPOINTMENT
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The Great Adventure: Week #4 “Which Way Did He Go?” Luke 18:9-14 “To some who were confident of their won righteousness and looked down on everybody else, Jesus told this parable: Two men went up to the temple to pray, one a Pharisee and the other a tax collector. The Pharisee stood up and prayed about himself. ‘God, I thank you that I am not like other men - robbers, evil d
ITC Journal 1997-3/4 Biophysical sustainability of land use systems esting prospects for early warning applications and cropyield forecasting. The “sufficiency” of land unit properties can be gauged by monitoringselected system parameters and matching these with values calculatedfor a rigidly defined “production situation”. Land use system analysismust account for the dynamics of t