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IHA CT Imaging eForm, V1_Apr2_2022, by Dr. John Yap, is licensed under a GPL. Based on FHA Imaging Req by Drs. Page et al.
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CAR GUIDELINES




SIDE:
Left Right Bilateral

BODY PART:
Head Sinuses Carotids Thyroid
Chest Abdomen Pelvis Renal
C-spine T-spine L-spine
Shoulder Humerus Elbow Wrist
Forearm Scaphoid Hand
Hip Femur Knee Ankle Foot
Lower leg
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Call if positive
Call result
Fax if positive
Fax
Send to ER if positive

URGENT     EMERGENT