MRI Metal Safety Screening Form

Form Template

Use the MRI Safety Screening mobile app to screen any patient(s) before submitting themselves for an MRI.

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During the magnetic resonance imaging scan, you can address patient safety concerns by discussing the process. This screening form documents the reason for the MRI scan, if the patient has ever had an X-ray or CT scan, and body parts to be examined.

All screening forms are saved in the GoCanvas Cloud and can be emailed or printed as a PDF if you need to share them with a physician office, medical center, or send to the patient. This patient can be downloaded to an iPhone, iPad, or Android device.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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