PLEASE READ THE FOLLOWING PROTOCOL AND CLOSE POP UP WHEN READY TO FILL OUT THE IMAGING REQUEST
Please use this form to order imaging studies from UTMB for your St. Vincent’s patients. Please exercise prudence, as we have limited funds, and order only those tests that will result in a change in the medical management of your patient. If the test undergoes committee review, you will be asked to place the orders within one week. Please monitor your Epic InBasket and email for updates.
We appreciate your assistance. If you have any questions, please contact Julian Quiceno or Dr. Farr.
If your patient can afford to pay for the procedure, please encourage them to do so. They have the option to donate the cost of their procedure to STV using the app.** This donation would bypass the need for committee review** To donate and bypass committee review, COMPLETE the requisition form and follow the instructions provided in the app.