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Magnetic Resonance Imaging (MRI) Screening Form Name: ___ (PLEASE PRINT) Certain implants, devices, or objects may be hazardous to you in the MRI environment. If you answer yes to any of the following,
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Begin by filling out the personal information section, including your name, date of birth, and contact details.
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Move on to the medical history section and provide accurate and complete information about any past surgeries, medical conditions, or medications you are currently taking.
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MRI screening forms for research subjects are needed by individuals participating in research studies or experiments involving MRI scans. These forms help ensure that the subjects meet the required criteria for the study and do not have any contraindications or conditions that could affect the results or their safety during the procedure.
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The MRI screening form for research subjects is a document used to assess the eligibility of individuals participating in MRI-related research studies, ensuring safety and adherence to necessary protocols.
Research subjects who are participating in MRI studies are required to file the MRI screening form to confirm their eligibility and safety for undergoing the procedure.
To fill out the MRI screening form, participants should carefully read each question, provide accurate personal and medical history information, and disclose any potential contraindications related to MRI procedures.
The purpose of the MRI screening form is to identify any factors that may affect the safety and appropriateness of using MRI technology on research subjects, helping to mitigate risks.
The information to be reported includes personal details, medical history, current medications, metal implants, allergies, and any other conditions that may be relevant to the MRI procedure.
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