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X-ray Claim Form (Diagnostic Only)

Instructions for X-ray (IOPA/RVG only) Claim 1. Only diagnostic X-rays for the chief complaint can be claimed, 2. Limited to max 2 IOPA/RVG during consultation appointment 3. Repeats due to errors are excluded 4. Approval must be taken for more than 2 diagnostic X-rays
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Upload Diagnostic X-ray

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