Outpatient Scheduling Matrix - Diagnostic Testing

Clinic or Outpatient Diagnostic Area

Scheduled By

Scheduling Phone

Fax Number

Referral/ Order Method

Referral/ Order Form (if applicable)

Referral/ Order Form Number (if applicable)

Patient Instructions

Central Scheduling

Clinic/ Diagnostic Area

Other

Fax

Phone

OAS Gold

Patient Call for Appointment

Mail Appointment Slip

Other

Abdominal (Body) Radiology

X

5-5800

5-5090

X

Outpatient Radiology Order Form

306-00356

X

Angiography

X

5-7005

Outpatient Radiology Order Form

306-00355

X

Audiology

X

5-5800

5-5090

X

Outpatient Rehab Order Form

306-03201

X

Bronchoscopy

X

5-4454

5-8455

X

Pulmonary Function / EEG / EMG / Diagnostic Cardiology Order Form

306-03202

X

Cardiovascular Lab

X

5-6179

5-6716

Call for instructions

Pulmonary Function / EEG / EMG / Diagnostic Cardiology Order Form

306-03202

Call for Instructions

CT

X

5-5800

5-5090

X

Outpatient Radiology Order Form

306-00356

X

CT Biopsies

X

5-5800

5-5090

X

Outpatient Radiology Order Form

306-00356

X

Diagnostic Radiology

X

5-5800

5-5090

X

Outpatient Radiology Order Form

306-00356

X

Dobutamine Stess Test

X

5-5800

5-5090

X

Pulmonary Function / EEG / EMG / Diagnostic Cardiology Order Form

306-03202

X

ECG

X

5-5800

5-5090

X

Pulmonary Function / EEG / EMG / Diagnostic Cardiology Order Form

306-03202

X

Echo Stress Test

X

5-5800

5-5090

X

Pulmonary Function / EEG / EMG / Diagnostic Cardiology Order Form

306-03202

X

EEG

X

5-5800

5-5090

X

Pulmonary Function / EEG / EMG / Diagnostic Cardiology Order Form

306-03202

X

EKG

Walkin

NA

NA

Patient bring order

Pulmonary Function / EEG / EMG / Diagnostic Cardiology Order Form

306-03202

Walkin

EMG

X

5-5800

5-5090

X

Pulmonary Function / EEG / EMG / Diagnostic Cardiology Order Form

306-03202

X

Event Monitoring

X

5-4447

5-3467

X

Call to schedule

Pulmonary Function / EEG / EMG / Diagnostic Cardiology Order Form

306-03202

X

Hand Rehabilitation

X

5-5800

5-5090

X

Outpatient Rehab Order Form

306-03201

X

Holter Monitoring

X

5-4447

5-3467

X

Call to schedule

Pulmonary Function / EEG / EMG / Diagnostic Cardiology Order Form

306-03202

X

Interventional Radiology

X

5-5800

5-5090

X

Outpatient Radiology Order Form

306-00356

X

Mammogram

X

5-5800

5-5090

X

Mammogram Order Form

X

MRI

X

5-5800

5-5090

X

Outpatient Radiology Order Form

306-00355

X

Neuroradiology

X

5-5800

5-5090

X

Outpatient Radiology Order Form

306-00356

X

Nuclear Medicine

X

5-5800

5-5090

X

Outpatient Radiology Order Form

306-00355

X

Occupational Therapy

X

5-5800

5-5090

X

Outpatient Rehab Order Form

306-03201

X

PET

X

5-5800

5-5090

X

Outpatient Radiology Order Form

306-00355

X

Physical Therapy

X

5-5800

5-5090

X

Outpatient Rehab Order Form

306-03201

X

Plain X-Rays

Walkin

NA

NA

Outpatient Radiology Order Form

Walkin

Polysomnography

X

5-5800

5-5090

X

Pulmonary Function / EEG / EMG / Diagnostic Cardiology Order Form

306-03202

X

Pulmonary Function Test (PFT)

X

5-5800

5-5090

X

Pulmonary Function / EEG / EMG / Diagnostic Cardiology Order Form

306-03202

X

Routine Exercise Stress Test

X

5-5800

5-5090

X

Pulmonary Function / EEG / EMG / Diagnostic Cardiology Order Form

306-03202

X

Speech Pathology

X

5-5800

5-5090

X

Outpatient Rehab Order Form

306-03201

X

Thallium Stress Test

X

5-5800

5-5090

X

Outpatient Radiology Order Form

306-00355

X

Transesophageal Echocardiogram (TEE)

X

5-5800

5-5090

X

Pulmonary Function / EEG / EMG / Diagnostic Cardiology Order Form

306-03202

X

Transthoracic Echocardiogram (TTE)

X

5-5800

5-5090

X

Pulmonary Function / EEG / EMG / Diagnostic Cardiology Order Form

306-03202

X

Ultrasound

X

5-5800

5-5090

X

Outpatient Radiology Order Form

306-00356

X

Ultrasound Biopsies

X

5-5800

5-5090

X

Outpatient Radiology Order Form

306-00356

X