AegysPRO MRI - MRI Screening Form - Staff

Form Template

Before a staff member begins any MRI-related procedure, it's important they go over a safety screening checklist to make sure they have no objects on their body to ensure their own safety and patient safety.

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Does the staff member have a magnetically-activated implant or programmable device on their body? Does the staff member have any body piercings or tattoos? Have they received proper MR Safety Training within the last year? Use this MRI Screening Form mobile app for staff members to review the requirements of being able to enter the proximity of a magnetic resonance imaging machine and save results digitally on the GoCanvas Cloud.

This screening process tool is available on an iPhone, iPad, or Android device. You can print or email the screening program results as a PDF if you need to share it with others at the medical center or to develop a more comprehensive screening program.

Features
  • Signature Capture
  • Conditional Fields
  • Submission Editing
  • Reference Data
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“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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