Medical Imaging Provider Referral Forms and Instructions

Follow these E-Form installation instructions:

1. Select the applicable requisition from the list below.
2. Right click “Save link as…” to save form on your desktop.
3. Open PS Suite.
4. Open a test patient’s chart.
5. Go to “Settings” (towards top-left of the screen).
6. Click “Edit Custom Forms” and a new page will pop-up.
7. Click “File”.
8. Click “Import Forms”.
9. To test the requisition form, open a test patient’s chart again and go to “Data”.
10. Select “New Custom Form” and this will open the requisition into the patient’s chart.
11. To add the physician’s signature, double-click on the signature box (this will only work if you are logged in under the physician’s account).

Requisitions: 

•  MRI form
• Cardio, Resp and Neuro form
• CT scan form
• CT lung cancer screening form
• Maternal Fetal imaging form
• Interventional Radiology form
• X-ray, Ultrasound, Breast Imaging, BMD and Nuclear Medicine form