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PET Scan Contrast Questionnaire Patients name: DOB:Exam Date: RUN:Please answer all questions about the person who will have the PET Scan. Please answer all questions on the front and back of the
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How to fill out pet scan contrast questionnaire

01
Obtain the PET scan contrast questionnaire from the medical facility or doctor's office.
02
Read the questionnaire carefully and follow the instructions provided.
03
Fill out all the required fields, including personal information and medical history.
04
Be honest and accurate when providing information on the questionnaire.
05
If you have any concerns or questions, do not hesitate to ask the healthcare provider for clarification.
06
Return the completed questionnaire to the medical facility before your scheduled PET scan appointment.

Who needs pet scan contrast questionnaire?

01
Patients who are scheduled to undergo a PET scan procedure may need to fill out a contrast questionnaire before the examination.
02
Healthcare providers may also require patients with specific medical conditions or risk factors to fill out a contrast questionnaire to ensure the safety and effectiveness of the PET scan procedure.
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The PET scan contrast questionnaire is a form that patients must fill out to provide information about any allergies or previous reactions to contrast dye that may be used during a PET scan.
Patients who are scheduled to undergo a PET scan that involves the use of contrast dye are required to fill out the PET scan contrast questionnaire.
Patients can fill out the PET scan contrast questionnaire by providing accurate information about their medical history, any allergies, and previous experiences with contrast dye.
The purpose of the PET scan contrast questionnaire is to ensure the safety of the patient by identifying any potential risks or reactions to the contrast dye used during the scan.
Patients must report any allergies, previous reactions to contrast dye, current medications, and any other relevant medical history on the PET scan contrast questionnaire.
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