Get the free ARIC-MRI MRI-SCREENING FORM (MSC, Version A)
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OMB#: 0925-0281 Exp. 3/31/2014 REPEAT VISIT ID FORM ID NUMBER: FORM CODE: R V F DATE: 06/01/2011 Version 1.0 ADMINISTRATIVE INFORMATION / 0a. Date of repeat visit: Month / Day 0b. Staff ID: Year Instructions:
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How to fill out aric-mri mri-screening form msc
How to fill out the ARIC-MRI MRI-Screening Form MSC:
01
Begin by carefully reading the instructions provided on the form. Make sure you understand the purpose of the form and what information is required.
02
Provide your personal details accurately. This may include your name, date of birth, contact information, and any other demographic information requested.
03
Answer the screening questions truthfully and to the best of your knowledge. These questions may cover your medical history, any previous MRI scans you have had, and any potential contraindications or concerns.
04
If you have any concerns or questions about the form, don't hesitate to ask a healthcare professional for clarification. It's essential to fill out the form accurately to ensure your safety and the effectiveness of the MRI procedure.
05
Once you have completed the form, review it carefully to ensure you haven't missed any sections or made any errors. Double-check your answers to be certain they are correct and complete.
Who needs the ARIC-MRI MRI-Screening Form MSC?
01
Individuals scheduled to undergo an MRI scan at the ARIC-MRI facility are required to fill out the ARIC-MRI MRI-Screening Form MSC. This form helps ensure the safety of the patients and the quality of the MRI procedure.
02
Patients who have been referred for an MRI scan by their healthcare provider or specialist will need to complete this form. It assists in assessing any potential risks or contraindications associated with the scan.
03
Individuals with a history of medical conditions, surgeries, or implants that may require additional precautions during an MRI scan will be asked to fill out this form. This helps the medical professionals at ARIC-MRI gather necessary information for a safer and more accurate procedure.
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