Russell H. Morgan Department of Radiology and Radiological Science

For Referring Clinicians All forms are available as PDF documents MRI Procedure Screening Form for Patients To ensure patient safety, completion of the MRI screening form is required prior to every MRI scan. Units can assist & expedite the MRI's triage process by completing this form in advance and faxing to 410-502-8582. Form Requisition forms Diagnostic requisition Body & Head CT requisition MRI requisition Neuro Interventional requisition Nuclear Medicine requisition PET/CT requisition Ultrasound & Breast Imaging requisition General Information Radiology Customer Service Center – https://csc.rad.jhmi.edu/ Radiology Scheduling - http://www.rad.jhmi.edu/patient_care.htm Request for UltraVisual account - http://ultravisual.rad.jhmi.edu/

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