f. SF 519-B (Radiologic Consultation Request/Report). As X-rays and other
radiographic procedures are completed, the results are transcribed to this form. Copy
1 is placed in the record. Copy 2 is forwarded to requesting physician, and copy 3 is
the record copy maintained in the Radiologic Facility. See figure 2-14.
Figure 2-14. SF 519-B (Radiologic Consultation Request/Report).
MD0751
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