Mri Patient Safety Questionnaire. Height (cm) weight (kg) booking details. Patient safety questionnaire and consent for magnetic resonance imaging (mri) signature:
Do you have a cardiac pacemaker/defibrillator or had heart surgery? Do you have an mri appointment booked with us? However, the magnetic field can cause problems for patients
Male / female / undisclosed.
The mri scanner uses a powerful magnetic field which can interfere with certain implants, devices or objects and may be hazardous to you. If you have a pacemaker you can not have a mri to our patients and accompanying family members: Mri safety, clinical and mri contrast study questionnaire and mri consent form, patient information about mri scans at melbourne radiology clinic. Please remove all loose metallic objects , including body piercings, hearing aids and dentures.