Enter/Entra

Preparations

Before you arrive for your scheduled appointment, please take note of the following information:

AUTHORIZATION # _________________

MRI (MAGNETIC RESONANCE IMAGING)

Please call our office before your appointment if any of the following apply:

Surgical vascular clips                      IVC Filter

Breast Tissue Expander                   Pacemaker

Neurostimulators                              Silver Backed Dermal Patches

Cochlear implants                             Penile Implants

DO NOT WEAR EYE MAKE-UP. MUSIC IS AVAILABLE DURING THE EXAMINATION

CT SCAN:

For contrast administration please supply Bun/Creat. Levels and inform us if you are diabetic and take Glucophage or Glucovance.

CT and IVP Information:

BUN:                                  ____________

CREAT:                             ____________

Date of Blood Work:      ____________

Asthmatic or Allergic Patients, please pre medicate.

Diabetic Patients needing contrast, please alert our office at the time of your appointment.

UGI and ESOPHAGRAM: Nothing to eat or drink after 12 midnight.

ABDOMINAL SONOGRAM: Nothing to eat or drink 4 hours prior to exam.

OB and Pelvic Sonogram: 1-1/2 hours before exam, drink 4 large glasses of water.

Do not empty bladder, full bladder required.

DEXA: No calcium pills, vitamins with calcium or dairy products on the day of exam.

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