Get Mri Safety Screening Form - US Legal Forms 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by reviewing the Pre-Entry Assessment section, which outlines the importance of screening for safety before entering an MRI room.
  3. Carefully read each question regarding medical history and conditions. For any 'Yes' responses, provide detailed explanations in the designated fields.
  4. Fill in your personal information, including your name, student number, and the date. Ensure all required fields are completed accurately.
  5. Once you have filled out the form, save your progress. It’s advisable to close and re-open the PDF to confirm that all entered data has been saved correctly.
  6. Finally, scan and save the completed form as a PDF document. Upload it via your myBCIT account along with your online application.

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Clinical MRI requires a physician order, while research MRI typically requires an approved protocol from a local Institutional Review Board, as well as informed consent.
MRIs, CT scans and x-rays are important procedures for people with concerning health issues. While there are some instances where you could get one of the imaging tests done without a referral, at most medical facilities, you will need a referral for CT scans, x-rays and MRIs.
You can get a pre-authorization for the MRI from the ordering physician. Just have them submit the request through the provider portal- most requests are complete in 24 hours but can take up to 3 business days.
Additionally, any individual that may be present during your MRI will need to remove all metallic objects and fill out a screening form. If you have questions or concerns, please discuss them with the MRI technologist or radiologist prior to the MRI exam.
The MRI questionnaire is designed to identify all potential implants and/or foreign bodies that the patient has.

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Normally, your medical organization or health plan has three to five days to approve or reject your request. You should be able to arrange an appointment within 96 hours if you require a quick appointment for a treatment that needs prior approval.

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