MRI PATIENT QUESTIONNAIRE

Fieldset

  • THE FOLLOWING ITEMS MAY INTERFERE WITH MAGNETIC RESONANCE IMAGING AND SOME CAN BE POTIENTIALLY HAZARDOUS
 

Do you have:

  • Any other type of implanted electronic device? (Such as an insulin pump, drug infusion device, bone growth stimulator, neurostimulator, muscle stimulator or spinal stimulators.)
 

Verification