Oncology Requisition Form
Neurology Requisition Form
Cardiac PET Requisition Form

Once they receive the requisition form, a member of the Columbia Kreitchman staff will begin the scheduling process and will:

	Obtain all necessary patient information, including medical history, demographic information, and insurance information.
	Assist in obtaining necessary insurance pre-approvals and pre-authorizations. We accept all private insurance plans and many HMOs. Medicare reimbursement varies by the type of medical condition and/or diagnosis.
	Schedule a convenient date and time with your patient.
	Inform patients regarding how to prepare the PET scan, what to expect during the exam, and how to receive their results (through their referring physician).
	Provide detailed directions to the Columbia Kreitchman PET Center, including access to valet parking.
	If you have any questions regarding patient referrals, please contact us at 212-923-1555.