This customizable document, Critical Test Results Form, is taken from MCN Healthcare’s Imaging Services Policy and Procedure Manual. For more than 20 years, MCN has been the health care industry’s leading provider of policy and procedure templates, forms, competencies and other compliance tools.

Health care organizations around the world utilize MCN’s compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards.

Here is some sample content from Critical Test Results Form:

	CRITICAL TEST RESULTS FORM Patient: Date of Exam: Exam Name: Results: Radiologist Signature: Results were given to: Exam results were read back: If no, explain: Additional Comments: Name of person completing form: Please keep a copy of this form on file in the department. Please send the original to Medical Records within 48 hours. Reference #2012...
Second excerpt:
	...Comments: Name of person completing form: Please keep a copy of this form on file in the department. Please send the original to Medical Records within 48 hours. Reference #2012...