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Get the free Mri safety screening questionnaire (outpatients) - UCLA Radiology - radiology ucla

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MAN: Patient Name: MRI SAFETY SCREENING QUESTIONNAIRE (OUTPATIENTS) Sex: Age: Height: (Patient Label) Weight: The following items may be harmful to you during your MR scan or may interfere with the
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MRI safety screening questionnaire is a form that collects information about a person's medical history, implants, and other factors to assess their suitability for undergoing an MRI scan.
Anyone scheduled to undergo an MRI scan is required to fill out the MRI safety screening questionnaire.
To fill out the MRI safety screening questionnaire, you need to provide accurate information about your medical history, any implants you have, and answer the questions honestly.
The purpose of the MRI safety screening questionnaire is to assess the safety of individuals before they undergo an MRI scan and to identify any potential risks or contraindications.
The MRI safety screening questionnaire typically asks for information about medical history, previous surgeries, presence of implants or devices, allergies, and any other relevant health conditions.
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