Get Prescreening Form 1 - Birkbeck-ucl Centre For Neuroimaging - Bucni Psychol Ucl Ac

This guide provides clear instructions on how to successfully complete the Prescreening Form 1 for the Birkbeck-UCL Centre for Neuroimaging. Filling out this form accurately is essential for ensuring your safety during the MRI procedure.

Follow the steps to complete the prescreening form online.

1. Press the ‘Get Form’ button to access the form and open it in your chosen editor.
2. Begin by filling in your principal investigator's name and the lab associated with your research.
3. Next, enter your subject weight in kilograms and your subject number, which is formatted as YYMMDDII.
4. Complete the personal information section, including your first name, middle initial, last name, date of birth, and email address.
5. In the address section, provide your full residential address, including city and postcode.
6. List your contact numbers under home, work, and mobile, ensuring to include area codes.
7. Provide information about your general practitioner (G.P.) along with the G.P. address and phone number.
8. Read through each question carefully regarding potential hazards or medical conditions that could affect your MRI scan. Answer truthfully for each, providing detailed explanations where necessary.
9. For questions regarding previous conditions or surgeries, indicate yes or no, and use the provided diagram to mark locations on your body where applicable.
10. Complete the acknowledgment section regarding the limitations of the scans and provide your printed name, signature, and date once you have finished filling out the form.
11. Lastly, if required, a scanner operator will review your form, and they should sign and date it as well.

Take the next step in your health journey by completing your prescreening form online today.