Get Mr Kontrolskema

The Mr Kontrolskema is a vital document that collects important health information from patients. This guide will provide you with clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the Mr Kontrolskema.

1. Press the ‘Get Form’ button to obtain the form and access it in your preferred editing tool.
2. Enter the patient's name and CPR number in the designated fields. This information is essential for identifying the patient's records accurately.
3. Provide the patient's mobile phone number and indicate if there is a mobile contact by selecting ‘JA’ (Yes) or ‘NEJ’ (No). If you select ‘JA’, please mention any relevant implanted devices.
4. List any implanted devices such as pacemakers or stents along with the type and year. Be specific to assist in the medical evaluation.
5. Include information on any foreign metal bodies that cannot be removed, such as metal splinters or piercings, and provide other necessary medical details.
6. State if the patient has experienced any surgical procedures within the last six weeks and specify the type and date of these procedures.
7. If applicable, indicate if the patient is pregnant and provide the expected delivery date.
8. For patients with known kidney diseases, please specify the condition.
9. Answer questions regarding potential challenges during an MR scan, such as claustrophobia, by providing ‘JA’ or ‘NEJ’ answers.
10. If necessary, fill out the eGFR for patients over 18 years, or provide P-Creatinin for those under 18, along with relevant measurement values.
11. Complete the height and weight fields for the patient in centimeters and kilograms respectively.
12. Finally, identify the responsible individual for the control schema and fill in the corresponding date.
13. After ensuring all information is filled out correctly, save any changes made to the form. You can then download, print, or share the completed document.

Complete the Mr Kontrolskema online today to ensure your health information is accurately recorded.