MRI Patient and Individual Screening Forms


( Click image to enlarge )

( Click image to enlarge )
Proper use of these written forms along with thorough verbal screening of all patients and individuals entering the MRI suite by an MRI safety trained healthcare worker should prevent accidents and injuries in the MRI environment.

Click to view article: SCREENING PATIENTS FOR MR PROCEDURES AND INDIVIDUALS FOR THE MR ENVIRONMENT
Reprinted with permission of Frank G. Shellock, Ph.D.

Item Number: Description:
03-PSF 2 sided patient form, 100 sheets to a pad.
03-ISF 1 sided individual form, 100 sheets to a pad