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Open MultiPositional MRI SCREENING Sedate: Patient Name: Phone: DOB: Weight: Referring Physician: Yes / No Is this your first MRI? If NO, what is the date and location of your prior MRI? Yes / No
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How to fill out new mri screening sheet
How to fill out new mri screening sheet
01
Start by gathering all the necessary information and documents required for the MRI screening sheet.
02
Make sure to have the patient's personal details, medical history, and any relevant previous imaging results.
03
Begin filling out the form by entering the patient's full name, date of birth, and contact information.
04
Provide a brief description of the reason for the MRI and the specific body part or area to be scanned.
05
Indicate any known allergies or adverse reactions to contrast dye or medications.
06
Enter details about the patient's medical history, including any current or past illnesses, surgeries, or chronic conditions.
07
Include information about medications or supplements being taken by the patient.
08
If the patient is a female, specify whether she is pregnant or breastfeeding.
09
If necessary, include any special instructions or considerations for the MRI procedure.
10
Finally, review the completed form for accuracy and completeness before submitting it for the MRI screening process.
Who needs new mri screening sheet?
01
Patients who are scheduled to undergo an MRI procedure need to fill out the new MRI screening sheet. This is done to ensure that the healthcare professionals performing the MRI are aware of any relevant medical information or potential risks for the patient. By completing the screening sheet, patients help in providing accurate and comprehensive information, which is essential for the safety and success of the MRI procedure.
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