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