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New protocols allow for MRI in selected patients with 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your personal information, including Patient Name, DOB, ACC, MRN, Age, and Referring Provider. Ensure all details are accurate for proper identification.
- Proceed to answer the screening questions regarding medical history. For each question, select 'Yes' or 'No' based on your condition. Pay special attention to questions about pacemakers, surgeries, and any metallic objects.
- If applicable, provide additional details in the designated fields for questions that require further explanation, such as previous surgeries or trauma related to the body part being scanned.
- Complete the final sections regarding symptoms and allergies. Make sure to describe any reactions if you have allergies.
- Review all entered information for accuracy before signing at the bottom of the form. This ensures that all necessary details are captured correctly.
Start using our platform today to easily fill out your MRI questionnaire online for free!
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2019 | 4.8 Satisfied (72 Votes) |
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Related links
This page contains the most recent and up-to-date definitions of all routine OHSU MRI protocols and subvariants.Read more
Sep 17, 2025 Whole-body magnetic resonance imaging (WB-MRI) protocols using anatomic sequences with or without exogenous contrast medium (without DW-MRI)Read more