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Radiology Form Used at SASMEC @IIUM
001 CONSENT RADIOLOGICAL PROCEDURE WITH CONTRAST MEDIUM INJECTION
002 CONSENT RADIOLOGICAL PROCEDURE FOR PREGNANT
003 RADIOLOGY EXAMINATION FORM(XRAY)-BI
004 CHECKLIST FOR SCREENING MRI PATIENTS
005 PATIENT PREPARATION LIST FOR CT SCAN
006 REQUEST FORM FOR UPLOADING DICOM IMAGES
007 PATIENT PREPARATION FORM - XRAY KUB EXAMINATION
008 PATIENT PREPARTION FORM - ULTRASOUND EXAMINATION
009 PATIENT PREPARATION FORM - MRI EXAMINATION
010 PATIENT PREPARATION FORM - IVU EXAMINATION
011 PATIENT PREPARATION FORM - BARIUM ENEMA
012 PATIENT APPOINTMENT CHECKLIST- HSG EXAMINATION
013 PATIENT PREPARATION FORM - MAMMOGRAPHY EXAMINATION
014 INTERVENTIONAL EXAMINATION CHECKLIST
015 PATIENT PREPARATION FORM FOR OTHER EXAMINATION
016 CHECKLIST BONE DENSITOMETER
017 REQUEST FORM FOR COPY OF IMAGES (CD BURN)
018 POST PROCEDURE CARE-HIGH RISK INTERVENTIONAL EXAMINATION
019 CD IMAGES PAYMENT SLIP
020 CHECKLIST SENDING RECEIVE PATIENT
021 OBSERVATION CHART
022 CONTRAST EXTRAVASATION INCIDENCE REPORTING
023 PATIENT MAMMOGRAM QUESTIONNAIRE
