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M3 ACRID 6676 / ECG 2804 Advanced Renal Cell Carcinoma DCE MRI Chemotherapy Imaging Form ACRID Study 6676 PLACE LABEL HERE Institution If this is a revised or corrected form, indicate by checking
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How to fill out imaging form - ACRIN:
01
Start by reading the instructions: Before filling out the imaging form - ACRIN, carefully read the instructions provided. This will help you understand the purpose of the form and how to properly complete it.
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Provide patient information: Begin by entering the necessary patient details, such as name, date of birth, and medical record number. Ensure that all information is accurate and legible.
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Input the examination details: Fill in the requested details regarding the imaging procedure. This may include the type of scan, specific instructions for the radiologist, and any additional information relevant to the exam.
04
Complete the study protocol: If applicable, indicate the specific study protocol that should be followed for this imaging exam. This may involve selecting the appropriate checkboxes or writing down the desired protocol in the provided space.
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Note any allergies or contraindications: If the patient has any known allergies or medical conditions that may affect the imaging procedure, make sure to mention them in the designated section. This will help the radiologist take necessary precautions for the patient's safety.
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Provide any additional information: If there are any particular concerns, questions, or additional information that you think the radiologist should know, include them in the relevant section of the form.
Who needs imaging form - ACRIN?
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Healthcare professionals: Imaging form - ACRIN is needed by healthcare professionals involved in performing or interpreting imaging exams. This may include radiologists, radiologic technologists, or referring physicians.
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Patients: Patients may need to fill out the imaging form - ACRIN if they are undergoing an imaging procedure. This form provides valuable information to the healthcare team, ensuring that the exam is conducted safely and accurately.
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Healthcare facilities: Healthcare facilities, such as hospitals or imaging centers, require imaging forms - ACRIN for record-keeping and documentation purposes. These forms help maintain a comprehensive history of the imaging exams performed on patients.
Note: It's always important to consult the specific instructions provided with the imaging form - ACRIN, as requirements may vary.
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