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For MRI s please remove all removable metal from your body such as hearing aides hairpins jewelry dentures partial plates etc. SDMI IS NOT RESPONSIBLE FOR HEARING AIDS BROUGHT INTO THE EXAM ROOM. Intake Questionnaire ADVANCED IMAGING Please answer all questions below and notify the technologist of any metal inside or on your body. Please list specifically what and when Procedure Description Date Other Advanced Head Imaging Head Circle all that Apply Stroke Seizures Memory Loss MS Sinus circle...
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How to fill out advanced imaging history questionnairesindd

How to fill out advanced imaging history questionnairesindd?
01
Start by carefully reading each question on the questionnaire. Make sure you understand what information is being asked for.
02
Gather all relevant medical records and imaging reports to help you accurately complete the questionnaire. This may include previous X-rays, CT scans, MRIs, or other imaging studies.
03
Provide complete and accurate personal information, such as your name, date of birth, and contact information. This will ensure that your questionnaire is properly associated with your medical records.
04
Answer each question to the best of your knowledge. If you are unsure about a certain question, it is better to indicate that you are unsure rather than guess or provide inaccurate information.
05
Be detailed in your responses. If you have had previous surgeries or medical procedures, provide dates and details about the procedures. If you have any allergies or adverse reactions to contrast agents used in imaging studies, mention them.
06
If there is a section for family medical history, try to gather information from your immediate family members. This can include any history of cancer, heart disease, or other relevant conditions.
07
Once you have completed the questionnaire, review your answers to ensure they are clear and accurate. Make any necessary corrections or additions.
08
Finally, submit the filled-out questionnaire to the appropriate healthcare provider or imaging center as instructed.
Who needs advanced imaging history questionnairesindd?
01
Patients who are scheduled for advanced imaging procedures, such as CT scans, MRIs, or nuclear medicine scans, may be required to fill out advanced imaging history questionnairesindd.
02
These questionnaires help healthcare providers gather important information about the patient's medical history, previous imaging studies, allergies, and other relevant details.
03
By filling out the questionnaire, patients can ensure that the imaging procedure is tailored to their specific needs and potential risks or contraindications are identified beforehand.
04
Advanced imaging history questionnairesindd also enable healthcare providers to make accurate diagnoses and provide appropriate treatment plans based on the patient's medical history and imaging results.
05
The information provided in these questionnaires can help prevent complications, ensure patient safety, and improve the overall quality of care during advanced imaging procedures.
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