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Magnetic Resonance Imaging REQUISITION (MRI) 2000 Veterans Place NW, Calgary, AB T3B 4N2 Date of Issue Appointment Date DD×MM/BY Patient Information Appointment Required DD×MM/BY Place patient label

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How to fill out magnetic resonance imaging requisition

How to fill out magnetic resonance imaging requisition:

01

Start by filling out the patient's personal information, including their full name, date of birth, and contact information. This is important for identification purposes and to ensure that the results are accurately attributed to the correct individual.

02

Provide the reason for the MRI request. Whether it is for diagnostic purposes or to monitor the progress of a specific condition, it is essential to clearly state the purpose of the examination. Be as specific as possible to guide the radiologist in their assessment.

03

Indicate any relevant medical history or present conditions that may impact the MRI procedure. This includes allergies, prior surgeries or medical treatments, and any existing implants or prosthetics that may interfere with the scan. Such information helps the radiologist to take necessary precautions and make appropriate adjustments during the scan.

04

Specify the body part or area of interest for the MRI. Whether it is a scan of the brain, spine, joints, or any other specific region, make sure to clearly indicate which area needs to be examined. This information will ensure that the radiologist focuses on the appropriate region during the imaging process.

05

Provide any additional instructions or requests for the MRI. This may include the need for contrast agents or sedation, specific positioning requirements, or any other special considerations. Be sure to communicate any concerns or preferences to optimize the imaging process.

Who needs magnetic resonance imaging requisition:

01

Patients who have been referred by their healthcare provider for further diagnostic evaluation may require a magnetic resonance imaging requisition. This could be to investigate an existing condition, monitor the progress of a treatment, or identify new potential health issues.

02

Individuals who have experienced specific symptoms that warrant further investigation may also require an MRI requisition. These symptoms could include persistent pain, unexplained neurological issues, suspected tumors or other abnormalities, or any other relevant indications.

03

Additionally, individuals who are participating in research studies or clinical trials may also need a magnetic resonance imaging requisition. This is often necessary to obtain imaging data for research purposes and to assess the effectiveness of new treatments or interventions.

In summary, filling out a magnetic resonance imaging requisition involves providing accurate and detailed information about the patient, stating the purpose of the examination, specifying the area of interest, and providing any additional instructions or requests. MRI requisitions are typically needed for patients referred by healthcare providers, those experiencing specific symptoms, and individuals participating in research studies or clinical trials.

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What is magnetic resonance imaging requisition?

Magnetic resonance imaging requisition is a formal request for an MRI scan to be performed on a patient.

Who is required to file magnetic resonance imaging requisition?

Medical professionals such as doctors or specialists are typically required to file a magnetic resonance imaging requisition.

How to fill out magnetic resonance imaging requisition?

The requisition form must be completed with the patient's information, the reason for the MRI scan, and any relevant medical history.

What is the purpose of magnetic resonance imaging requisition?

The purpose of the MRI requisition is to request a detailed imaging scan to help diagnose and monitor medical conditions.

What information must be reported on magnetic resonance imaging requisition?

The requisition must include patient's name, date of birth, reason for the scan, referring physician, and any relevant medical history.

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