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DIAGNOSTIC IMAGING: HISTORY AND PHYSICAL
The Hospital for Sick Children
555 University Avenue
Toronto, Ontario
M5G 1×8(P) 4168135774 ext 3 (F) 4168135789
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How to fill out sickkids-mri-history-physical-form
How to fill out sickkids-mri-history-physical-form
01
Fill out the patient's personal information including name, date of birth, address, contact information, etc.
02
Provide details about the reason for the MRI scan and any relevant medical history or conditions.
03
Fill in the names and contact information of the patient's primary care physician or referring physician.
04
Answer any specific questions about allergies, current medications, or previous surgeries.
05
Sign and date the form to confirm accuracy and consent.
Who needs sickkids-mri-history-physical-form?
01
Individuals who are scheduled to undergo an MRI scan at SickKids hospital or any other medical facility where this form is required.
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What is sickkids-mri-history-physical-form?
The sickkids-mri-history-physical-form is a medical form used to document the patient's medical history and physical examination before an MRI procedure at SickKids Hospital.
Who is required to file sickkids-mri-history-physical-form?
Patients scheduled for an MRI procedure at SickKids Hospital are required to fill out the sickkids-mri-history-physical-form.
How to fill out sickkids-mri-history-physical-form?
Patients need to provide accurate information about their medical history, current medications, allergies, and any previous surgeries or medical conditions.
What is the purpose of sickkids-mri-history-physical-form?
The purpose of the sickkids-mri-history-physical-form is to ensure the safety of the patient during the MRI procedure by identifying any potential risks or contraindications.
What information must be reported on sickkids-mri-history-physical-form?
Patients need to report their medical history, current medications, allergies, previous surgeries, and any existing medical conditions.
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