Get the free Computed Tomography Patient Disclosure and Informed Consent Form

Sun View Imaging Services Computed Tomography (CT) Patient Disclosure and Informed Consent Date: Name: Weight: MAN: Referring Physician: Date of Birth: Secondary MAN: PLEASE READ AND CIRCLE YES OR

How to fill out computed tomography patient disclosure

How to fill out computed tomography patient disclosure

1. Step 1: Start by gathering all necessary information such as patient's personal details, medical history, and relevant clinical information.
2. Step 2: Verify that the patient has provided signed consent for the CT procedure.
3. Step 3: Ensure proper identification of the patient by confirming their name, date of birth, and any other identifying details.
4. Step 4: Record the reason for the CT scan, including any specific areas or organs that need to be examined.
5. Step 5: Note any potential contraindications or allergies that the patient may have, which could affect the procedure or choice of contrast media.
6. Step 6: Document the scan parameters, including the type of CT scan (e.g., head, chest, abdomen), slice thickness, and any special protocols to be followed.
7. Step 7: Describe the preparation steps required before the scan, such as fasting or avoiding certain medications.
8. Step 8: Include any additional instructions or precautions specific to the patient's condition or circumstances.
9. Step 9: Review the completed patient disclosure form with the patient, addressing any questions or concerns they may have.
10. Step 10: Obtain the patient's signature and date to indicate their understanding and agreement with the provided information.

Who needs computed tomography patient disclosure?

1. Computed tomography patient disclosure is needed for any individual undergoing a CT scan procedure.
2. This includes patients who require diagnostic imaging for various medical conditions, such as suspected injuries, diseases, or abnormalities.
3. It is a standard practice to ensure patient safety, informed consent, and accurate documentation of the procedure.

For pdfFiller’s FAQs

How can I edit computed tomography patient disclosure from Google Drive?

Using pdfFiller with Google Docs allows you to create, amend, and sign documents straight from your Google Drive. The add-on turns your computed tomography patient disclosure into a dynamic fillable form that you can manage and eSign from anywhere.

Can I sign the computed tomography patient disclosure electronically in Chrome?

Yes. You can use pdfFiller to sign documents and use all of the features of the PDF editor in one place if you add this solution to Chrome. In order to use the extension, you can draw or write an electronic signature. You can also upload a picture of your handwritten signature. There is no need to worry about how long it takes to sign your computed tomography patient disclosure.

How do I complete computed tomography patient disclosure on an Android device?

Complete your computed tomography patient disclosure and other papers on your Android device by using the pdfFiller mobile app. The program includes all of the necessary document management tools, such as editing content, eSigning, annotating, sharing files, and so on. You will be able to view your papers at any time as long as you have an internet connection.