Scheduled Exam Time Ready UVa Imaging Patient Name Outpatient Diagnostic Imaging Centers 415 Ray C. Hunt Dr. Fontaine Ph 434-243-9198 Fax 434-243-0243 MR Addressograph MR SCREENING FORM Before beginning your study it is necessary that you answer the following questions Patient name Height Weight Age Date Procedure being performed Have you ever had an MRI Yes No Have you had an injury to the eye involving a metallic object or fragment e.g. metall.

How it works
  • Open form

    Open form follow the instructions

  • Easily sign form

    Easily sign the form with your finger

  • Share form

    Send filled & signed form or save

How to fill out the Uva Imaging Fontaine online

The Uva Imaging Fontaine form is crucial for patients preparing for imaging procedures. This guide provides a clear, step-by-step approach to ensure all necessary information is accurately completed to facilitate your diagnostic imaging efficiently.

Follow the steps to complete the Uva Imaging Fontaine form online

  1. Click the 'Get Form' button to access the Uva Imaging Fontaine form online in your preferred editor. This step will enable you to view and begin filling out the document.
  2. Begin by entering your personal information in the designated fields. Provide your full name, height, weight, and age as prompted.
  3. Select the date of your appointment and indicate the specific procedure that will be performed on you.
  4. Answer the screening questions carefully. Choose 'Yes' or 'No' for each question regarding past MRI experiences, injuries, allergies, and other medical history.
  5. If you answered 'Yes' to any question requiring further description, provide the details in the provided space.
  6. Pay special attention to sections related to any implants, medical devices, or procedures. Indicate any relevant surgeries or health conditions that could affect your MRI.
  7. For female patients, indicate if you are pregnant or experiencing a late menstrual period; for male patients, indicate if you have a penile prosthesis.
  8. Review the warnings and instructions regarding safety before and during the MRI procedure.
  9. After completing all sections, confirm that all information is accurate. Then, save your changes, and download or print the form for your records.
  10. Share the completed form with your healthcare provider or the imaging center as instructed.

Complete your Uva Imaging Fontaine form online for a smooth imaging experience.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

university of virginia medical center report on...

Nov 19, 2012 — the need for radiology services in the Charlottesville area....

Learn more
Welcome to UVA Imaging — Medical Center Public...

We strive to continuously improve the patient experience. Please provide feedback...

Learn more
Cover And TOCx SRCD 2013 Program Book...

... Study of Criminal Outcomes for Teenage Mothers Claire Coyne, Nathalie Fontaine,...

Learn more
Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

How do you do an MRI if you are claustrophobic?

In that light, here are some MRI claustrophobia tips to help you keep calm during an MRI. Know what to expect. ... Learn about the MRI machine. ... Wear an eye mask. ... Listen to soothing music. ... Wear earplugs. ... Ask for a blanket. ... Focus on your breathing. ... Bring along someone you trust.

The UVA Department of Radiology and Medical Imaging aims to be a leader in fostering an inclusive and equitable community that embraces diversity, compassion, respect and healing for all.

Steve Hauer - Director Of Radiology - UVA Health | LinkedIn.

Many people are fearful of MRIs because they have seen the machines before and worry about feeling trapped, especially if they suffer from claustrophobia. The traditional MRI machine is a closed machine, but open machines are becoming increasingly available.

Please call (434) 243-2700 during Monday through Friday 8:00AM-5:00PM. One of our team members will schedule a date, time and location that works best for you.

Instead of an enclosed capsule, the open MRI uses a magnet top and bottom and is open on all four sides. These decrease the risk of claustrophobia and panic attacks exponentially and allows patients of all shapes and sizes to be able to make use of an MRI to accurately diagnose their problems.

closed MRI machine, you'll find a closed MRI system is more effective at diagnosing a larger range of problems because of the higher-quality images it produces due to its stronger magnetic field. But, an open MRI system accommodates you better, particularly if you are claustrophobic or have a larger body type.

The MRI Exam Depending on your condition, you may have monitors to track your pulse, heart rate, and breathing. The table will slide into a narrow, enclosed cylinder. In some machines, the sides are open, so you can look out into the room. The technician will leave the room.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

If you believe that this page should be taken down, please follow our DMCA take down process here.

Get Uva Imaging Fontaine