19Information that must be included in requests for diagnostic imaging services

#### 19 Information that must be included in requests for diagnostic imaging services (1) For the purposes of subsection 23DQ(1) of the Act, the following information must be included in a subsection 16B(1) request: (a) the name and either: (i) the address of the place of practice; or (ii) the provider number in respect of the place of practice; of the requesting practitioner; (b) the date of the request; (c) a description of the diagnostic imaging service; (d) if all of the following circumstances apply—a statement that informs the patient that the request may be taken to a diagnostic imaging provider of the patient’s choice: (i) the request is made on a document for use by requesting practitioners in making subsection 16B(1) requests; and (ii) the document is supplied, or made available to, a requesting practitioner by a diagnostic imaging provider on or after 1 August 2012; and (iii) the document contains relevant information about the diagnostic imaging provider at the time the document is supplied or made available. (2) For the purposes of subregulation (1), a description of the diagnostic imaging service must provide, in terms that are generally understood throughout the medical profession, sufficient information to identify the item of the diagnostic imaging services table that relates to the service but it need not specify the item number. (3) In this regulation: > diagnostic imaging provider means a person who: (a) renders diagnostic imaging services; or (b) carries on the business of rendering diagnostic imaging services; or (c) employs, or engages under a contract of service, a person mentioned in paragraph (a) or (b). > relevant information means: (a) the registered name or trading name of the diagnostic imaging provider; and (b) one or more locations of the diagnostic imaging provider if diagnostic imaging services are rendered at the location.