Deinze request forms
Only physicians and GPs can request an MRI or PET/CT scan at St Vincent General Hospital in Deinze for their patients, using the forms below. It is important that patients bring their MRI request with them on the day of the examination. Otherwise, the examination cannot proceed.
MRI scan request form
MRI scan request formDownload the MRI scan request form below.
PET/CT scan request form
PET/CT scan request formDownload the PET/CT scan request form below.
Outpatient request form
Outpatient request formDownload the request form for outpatients in our hospital (valid for all radiological examinations) below.
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