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Requisition Form
Exam Instructions
ABDOMINAL ULTRASOUND

Nothing to eat or drink after midnight.

PELVIC OR OBSTETRIC ULTRASOUND

Drink 5 large glasses of water (8 oz. size) to be FINISHED 1 HOUR BEFORE THE EXAMINATION. DO NOT EMPTY YOUR BLADDER.

ABDOMINAL & PELVIC ULTRASOUND COMBINED

Nothing to eat after midnight. Drink 5 large glasses of water (8 oz. size) to be FINISHED 1 HOUR BEFORE THE EXAMINATION. DO NOT EMPTY YOUR BLADDER.

MAMMOGRAPHY

Please do not use any powder or deodorant the day of your examination.

BONE DENSITOMETRY

Do not take calcium tablets for 24 hours prior to the examination.

*PLEASE BRING YOUR HEALTH CARD*
PLEASE BE PUNCTUAL FOR YOUR APPOINTMENT. UNFORTUNATELY, IF YOU ARE MORE THAN 10 MINUTES LATE FOR YOUR APPOINTMENT, YOU MAY HAVE TO BE RE-SCHEDULED.

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