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C O N T E N T S

MRI -
Admission Form

All MRI patients complete this form prior to their exam. To prepare your patient, you may give this form to them to complete prior to their appointment.

Admission Form

*A small percentage of patients with tattooed eyeliner have experienced transient skin irritation in association with MRI. You may want to discuss this matter with your imaging technologist.
*All piercings must be removed prior to exam if metal.

*Bring all Health Insurance Information to your appointment*