Consent for mri imaging & contrast administration during 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Patient Name and Date of Birth in the designated fields. This information is crucial for identifying the patient.
3. In the 'Procedure to be Performed' section, clearly specify the MRI examination that will be conducted. Ensure this aligns with your medical provider's instructions.
4. Review the 'Technique of Procedure' section carefully. Familiarize yourself with how MRI works and its implications, especially regarding pregnancy.
5. Read through the 'Risk(s) of Procedure' section thoroughly. Acknowledge any potential risks associated with MRI during pregnancy as outlined.
6. In the 'Use of Contrast Media During Pregnancy' section, understand that safety has not been established. Confirm with your physician if contrast media is necessary.
7. Sign and date where indicated for both Patient and Guardian signatures, confirming your understanding and agreement to proceed with the procedure.
8. Finally, ensure that the Radiologist/Physician Declaration is completed by your physician, affirming all questions have been answered satisfactorily.

Start using our platform today to complete your consent form online for free!