Bone density patient questionnaire - USMD Imaging Center 2026

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  1. Click ‘Get Form’ to open the bone density patient questionnaire in the editor.
  2. Begin by filling out SECTION 1: PATIENT INFORMATION. Enter your name and date at the top of the form. Answer the questions regarding pregnancy, recent medical scans, and any relevant health conditions.
  3. Provide your age, date of birth, ethnicity, weight, and height in the designated fields. Make sure to check 'Yes' or 'No' for questions about fractures and family history.
  4. Continue answering questions about smoking habits, medication history, and any surgeries you have had. Be thorough in describing circumstances where applicable.
  5. If you are a female patient, proceed to SECTION 2: FOR WOMEN ONLY. Answer all questions related to menstrual history and menopause accurately.
  6. Review all your entries for accuracy before submitting the form. Use our platform’s features to save or print your completed questionnaire if needed.

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Before a Bone Densitometry Scan You do not have to change your daily routine before this test. Eat, drink, and take any medications as you normally would. However, do not take calcium supplements or drugs that contain calcium, such as Tums, for 24 hours before your bone densitometry test.
Remove all jewelry and other accessories in the area to be scanned and wear loose, comfortable clothing. Wear pants with no metal, buttons or zippers, but they should have a waistband. Avoid wearing shirts that have designs or buttons. If you can, wear a sports - and avoid wearing a with hooks or underwires.
What should I expect during a DEXA bone densitometry test? There is no tube used for DEXA, nor is there the need for an IV injection. You simply lie on your back on a flat, comfortable x-ray table. A specially trained radiographer will position you on the table and help you hold the desired position.
A bone density scan uses low dose X-rays to see how dense (or strong) your bones are. You may also hear it called a DEXA scan. Bone density scans are often used to diagnose or assess your risk of osteoporosis, a health condition that weakens bones and makes them more likely to break.
Schedule a bone density test if your doctor recommends it. Ask your doctor if youre at risk for osteoporosis and if you need to schedule a bone density test. to start a conversation with your doctor at your next checkup.

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An X-ray detector inside the scanning arm measures the amount of X-rays that have passed through your body. This information will be used to produce an image of the scanned area. The scan usually takes 10 to 20 minutes.
Prior to Your Bone Density Test Do not take calcium supplements, Tums, Rolaids, Pepcid or multi-vitamins for 24 hours before your appointment. Take your other medications as prescribed. You may eat foods that contain calcium.

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