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CT SCREENING/CONTRAST CONSENT FORM Name: DOB: Height: Weight: Date: Referring Doctor: Radiology #: PATIENT PLEASE ANSWER THE FOLLOWING QUESTIONS: 1) What complaints/symptoms led you to see the doctor?
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The ct screeningcontrast consent form is a document that must be filled out by patients before undergoing a contrast CT scan, outlining the risks and benefits of the procedure.
Patients who are scheduled to undergo a contrast CT scan are required to fill out and sign the ct screeningcontrast consent form.
To fill out the ct screeningcontrast consent form, patients must carefully read the provided information, understand the risks and benefits, and sign the form to indicate their consent.
The purpose of the ct screeningcontrast consent form is to ensure that patients are fully informed about the contrast CT scan procedure and to document their consent to undergo the scan.
The ct screeningcontrast consent form must include information about the risks and benefits of a contrast CT scan, the patient's consent to undergo the procedure, and any relevant medical history or allergies.
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