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CONTRAST QUESTIONNAIRE 1. 2. Are you diabetic? YES NO If yes, are you on any of the following: () YES YES YES XR.
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The contrast questionnaire - delta is a form used to gather information about the contrast used in medical imaging procedures.
Healthcare facilities and providers who use contrast in medical imaging procedures are required to file the contrast questionnaire - delta.
The contrast questionnaire - delta can be filled out electronically or on paper, and must include details about the type of contrast used, patient information, and imaging procedure details.
The purpose of the contrast questionnaire - delta is to track and monitor the use of contrast in medical imaging procedures to ensure patient safety.
Information such as the type of contrast used, patient allergies, imaging procedure details, and healthcare provider information must be reported on the contrast questionnaire - delta.
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