Get Diagnostic Imaging Mri Screening Form - Qch On

Filling out the diagnostic imaging MRI screening form online is an essential step to ensure your safety during the MRI procedure. This guide provides clear instructions on how to complete each section of the form accurately and efficiently.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to access the MRI screening form and open it in your preferred document editor.
2. Review the introduction provided on the form about MRI exams and the importance of identifying metallic objects for safety. Ensure you understand the necessity of providing accurate information.
3. Begin by answering the initial questions. For each item listed, mark 'YES' or 'NO' based on your personal medical history or conditions.
4. If you answer 'YES' to any implanted device or surgical procedure, be prepared to provide additional details such as the manufacturer and the date of implantation.
5. Fill out your details regarding past MRI exams, indicating when and where the exam was performed along with the body part examined.
6. Proceed to address questions about claustrophobia, previous surgeries, and any implants or medical devices you may have.
7. When you reach the section asking about allergies or reactions within your medical history, be thorough and specific.
8. Identify your current weight as it is required for the MRI procedure. Input the weight in pounds or kilograms as specified on the form.
9. Lastly, sign and date the form in the designated areas for both the patient and technologist, ensuring that all required signatures are completed.
10. Once you have filled out all sections and reviewed your responses, you can save your changes, download the form, and follow any necessary steps to print or share it.

Begin completing your diagnostic imaging MRI screening form online today.