AegysPro-MR MRI Screening Form
Form Template
Magnetic Resonance Imaging (MRI) uses a powerful magnetic field to produce very clear images of the human body.
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When you are in the scan room any metallic objects on or within your body could be affected by the magnetic field. Therefore, all individuals are required to fill out this form before entering the MR environment or MR system room. Be advised, the MR system magnet is ALWAYS on and the strong magnetic field is always present. Fill out this digital MRI Screening Form without the use of Wi-Fi or paper to make sure all individuals entering the scan room have no metallic objects on their body and that they fully understand all the safety procedures as well as the dangers and risks of not fully complying to the safety procedures.
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