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Requesting records from outside wellspan

Fax request to whatever facility it is you are trying to get CD.

Pt name and D.O.B

Request cd of whatever image it is your looking for

How you would like to receive imaging

(CD or push to Life Image or Visage)

EX: John Doe D.O.B

We are requesting imaging of WHAT YOUR REQUESTING AND DATE for


continuing care. Please send to Life Image or Visage. If not, please send a CD. If
further information is needed, please call 717-851-2465

Thank you WPSM YOUR NAME

1. Go into patients chart and start a telephone note stating you sent to what ever
facility for imaging.

2. Keep watching fax in Right Fax to be sure it went. Leave fax on list until you
receive to keep an eye on it to be sure it is done, then delete.

3. A) If imaging is being pushed to Life Image or Visage you will be able to see in the
imaging tab. I always view to be sure

B) If imaging is sent by CD you will need to send to PACS

(Film Library YH). Complete form and send with CD in inner office envelope.

4. Once you receive CD back from PACS document in the telephone note created
stating received CD back. If patient does not want CD there is a drawer in Steph’s
office for CD’s.

Most facilities you can just send a cover letter. Others want it to be on letter head. If
they want it on letter head just go into Word and create letter. Once you have the letter
typed put a piece of letterhead in the printer. Once you have letter scan into patients
chart so you can fax to facility
*Unfortunately, our address is not on the letter head so if you know the facility is
mailing CD be sure to put our mailing address on the cover sheet. Our address is
already on letter head. *

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