HYSTEROSALPINGOGRAM (HSG) QUESTIONNAIRE / CONSENT - XRays 2025

See details

4 out of 5

43 votes

The document is a Hysterosalpingogram (HSG) questionnaire and consent form that collects personal and medical history from the patient, including menstrual cycle details, pregnancy history, previous surgeries, fertility treatments, and allergies. It also includes a consent statement for the procedure, acknowledging the use of iodinated contrast and potential risks associated with ionizing radiation.

Here's how it works

01. Edit your hsg consent form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send necessary to repeat hsg test via email, link, or fax. You can also download it, export it or print it out.

The easiest way to edit HYSTEROSALPINGOGRAM (HSG) QUESTIONNAIRE / CONSENT - XRays in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Handling documents with our comprehensive and user-friendly PDF editor is straightforward. Follow the instructions below to complete HYSTEROSALPINGOGRAM (HSG) QUESTIONNAIRE / CONSENT - XRays online quickly and easily:

Sign in to your account. Log in with your credentials or create a free account to test the service prior to choosing the subscription.
Upload a form. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit HYSTEROSALPINGOGRAM (HSG) QUESTIONNAIRE / CONSENT - XRays. Easily add and highlight text, insert pictures, checkmarks, and symbols, drop new fillable areas, and rearrange or delete pages from your paperwork.
Get the HYSTEROSALPINGOGRAM (HSG) QUESTIONNAIRE / CONSENT - XRays accomplished. Download your modified document, export it to the cloud, print it from the editor, or share it with others using a Shareable link or as an email attachment.

Take advantage of DocHub, one of the most easy-to-use editors to rapidly handle your paperwork online!

See more HYSTEROSALPINGOGRAM (HSG) QUESTIONNAIRE / CONSENT - XRays versions

We've got more versions of the HYSTEROSALPINGOGRAM (HSG) QUESTIONNAIRE / CONSENT - XRays form. Select the right HYSTEROSALPINGOGRAM (HSG) QUESTIONNAIRE / CONSENT - XRays version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2012	4 Satisfied (43 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are the restrictions after HSG?

After the HSG, the patient can immediately return to normal activities, although some doctors ask that they refrain from intercourse for a few days.

Can I go back to work after an HSG procedure?

You are unlikely to have pain following the procedure, but you may feel crampy or achy. The majority of our patients are able to drive after an HSG and even immediately return to work.

Can you drive after an HSG?

In some cases, you also may receive an antibiotic for you to take before HSG. Most people can drive themselves home after having HSG. But you may not feel well after the procedure, so you may want to make arrangements for someone to drive you home.

What are the requirements for HSG test?

Preparation for a Hysterosalpingogram Procedure The exam should take place between 7-10 days after the beginning of your last menstrual period. A course of antibiotics may be prescribed prior to the test depending on your referring providers recommendations. You can eat and drink as per usual the day of the test.

Can I drive myself home after an HSG?

In some cases, you may receive an antibiotic as well. Most people can drive themselves home after an HSG.

precautions after hsg test

HSG X ray procedure HSG test price Benefits of HSG test Is HSG test painful HSG परीक्षण HSG test report When is the best time to do HSG test HSG test instruments

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

How many days rest are required after an HSG test?

If you are going home, you may resume normal activities. You may experience vaginal spotting (bleeding) and pelvic cramps for 1 day after the procedure.

What is the rule of 10 in HSG?

The 10-day rule indicates that the best time for administering the painless HSG test is 7 to 10 days after the end of the last menstrual period. This is the time when the fallopian tubes are clear of menstrual debris.

What are the restrictions for HSG test?

It is also not advised to perform this procedure during the menstrual period or immediately after it, due to the increased risk of intravasation of contrast with open uterine vessels. Hypersensitivity to contrast agents is obviously a contraindication to its use in this procedure.

HYSTEROSALPINGOGRAM (HSG) QUESTIONNAIRE / CONSENT - XRays 2025

Here's how it works

The easiest way to edit HYSTEROSALPINGOGRAM (HSG) QUESTIONNAIRE / CONSENT - XRays in PDF format online

See more HYSTEROSALPINGOGRAM (HSG) QUESTIONNAIRE / CONSENT - XRays versions

Complete this form in 5 minutes or less

Got questions?

What are the restrictions after HSG?

Can I go back to work after an HSG procedure?

Can you drive after an HSG?

What are the requirements for HSG test?

Can I drive myself home after an HSG?

Complete this form in 5 minutes or less

People also ask

How many days rest are required after an HSG test?

What is the rule of 10 in HSG?

What are the restrictions for HSG test?

Related links

Try more PDF tools