Get Mri Consent Form Pdf

“What information will the MRI scan provide? How might this change my treatment options?” “Is there any reason why I shouldn't have an MRI scan?” (If you have any implanted devices (such as a pacemaker, stents, an pump, or an artificial joint), be sure your doctor knows about them.)

Magnetic resonance imaging (MRI) of human subjects is widely performed for clinical and research purposes. Clinical MRI requires a physician order, while research MRI typically requires an approved protocol from a local Institutional Review Board, as well as informed consent.

Magnetic resonance imaging (MRI) of human subjects is widely performed for clinical and research purposes. Clinical MRI requires a physician order, while research MRI typically requires an approved protocol from a local Institutional Review Board, as well as informed consent.

I have received a thorough explanation about the purpose and risks of MRI scans by reading “Information about Magnetic Resonance Imaging (MRI) Scan”, and I understand the content. As a result, I agree to have an MRI scan. (Even after you sign, you can withdraw your agreement at any time.)

The FDA takes a risk-based approach to medical device regulation, and MRI scanners are Class II (moderate risk) medical devices, meaning that an MRI manufacturer is required to submit a 510(k) notification prior to marketing their MRI System.

By my signature below, I hereby certify that I have fully read this consent, had it explained to me or have had it read to me. I have been given an opportunity to ask questions about my condition, alternative forms of treatment, and the procedures to be used, and the risks and hazards involved.

The MRI questionnaire is designed to identify all potential implants and/or foreign bodies that the patient has. These are then assessed to decide whether there is a risk involved in scanning the patient. In cases where implants are common or well-known, radiographers will decide whether imaging can proceed.

In a planned procedure, the patient should receive information, verbally or in writing, in sufficient time before the procedure to consider it and to consult others if they so wish. The patient should have their informed consent confirmed at a separate discussion with the radiologist performing the procedure.