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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