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Patient Name: Companion Name: MRI Consents FOR PATIENT COMPANION This form must be filled out by any person accompanying a patient in the MRI Room as Certain implants, devices or objects may be hazardous
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How to fill out mri-consent-for-patient-companionpdf

How to fill out mri-consent-for-patient-companionpdf:
01
Begin by carefully reading through the consent form to understand its purpose and requirements.
02
Fill in your personal information accurately, including your full name, date of birth, and contact details.
03
Provide the name and contact information of your chosen companion, if applicable.
04
Review the sections of the form related to the procedure itself, such as the risks and benefits of the MRI scan.
05
Sign and date the consent form in the designated spaces. If you have a companion, they may need to sign as well.
06
Make sure to provide any additional information or documentation required by the healthcare facility or imaging center.
07
Double-check all the filled-out information for accuracy and completeness.
08
Submit the completed consent form to the designated person or department, as instructed.
Who needs mri-consent-for-patient-companionpdf:
01
Patients undergoing an MRI scan may need to fill out the mri-consent-for-patient-companionpdf.
02
If a patient intends to have a companion present during the procedure, both the patient and the companion may need to complete this consent form.
03
Healthcare providers or imaging centers may require the completion of this form as part of their standard procedure to ensure legal compliance and patient safety.
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