Get Mri Checklist

Completing the MRI checklist is an important step to ensure your safety during the MRI procedure. This guide provides clear instructions on how to fill out the checklist accurately and comprehensively.

Follow the steps to complete the MRI checklist with ease.

1. Press the ‘Get Form’ button to access the MRI checklist and open it in an online editor.
2. Begin by entering your personal information at the top of the form, including your name and medical record number (MRN). These details are essential for identifying you in the system.
3. Read each question carefully. The checklist starts by inquiring if you have had an MRI before and if you experienced any difficulties. Select 'No' or 'Yes' accordingly and provide any necessary details in the space provided.
4. Continue down the checklist, answering questions regarding medical histories, such as having a pacemaker, metal fragments in your eyes, or any previous reactions to MRI contrast material. Be honest and thorough in your responses.
5. For questions regarding allergies, kidney issues, diabetes, and pregnancy, it is crucial to provide accurate information as this will affect the MRI protocol.
6. A section will ask if you have had any implants or devices. Circle 'No' or 'Yes' for each item listed and describe any that apply to you in the designated space.
7. You are also requested to list any previous surgeries you've undergone, your weight, and height. This information helps healthcare providers assess MRI safety effectively.
8. Once you’ve completed all sections, review your information for accuracy and completeness. Ensure you have answered all questions to the best of your ability.
9. Finally, sign the form, indicating your understanding of the information presented. Include details about your relationship to the patient, if you are signing on their behalf.
10. If you are an inpatient, have the responsible nurse or doctor review the form for completeness. They will also sign and date the form.
11. After finalizing, you can save the changes, download, print, or share the completed MRI checklist as needed.

Complete your MRI checklist online today to facilitate a smooth MRI experience.