Patient History Form:  Online  Print

Magnetic Resonance Imaging (MRI) uses a magnetic field and radio waves to produce pictures and does not use radiation.

MRI provides detailed images in any plane through the body and is particularly good for looking at the brain, spine, pelvis and extremities/joints (shoulders & knees, etc.) as well as looking at cerebral blood vessels and carotid arteries utilizing MRA techniques. This is the only Short Bore High Field magnet in Cumberland County.

Scheduling High Field MRI Appointments

When you call to schedule an appointment for an MRI scan, we will need to know the following information:

	Patient's Name
	Date of Birth
	Home Phone Number
	Complete insurance information
	Area of the body to be studied, and reason for exam
	Referring Physician (Please notify us if a copy of the report needs to be sent to another physician)

After we ask you this information we will telephone your patient and ask them their Medical History.

We MUST have 24 hours notice if you will not keep your appointment. No special preparation is required for an MRI. Please report 15 minutes prior to your appointment. Please bring X-rays, CT Scans or previous MRI studies. Please bring insurance forms. The exam will take approximately 45 minutes. If possible, please leave hair pins and jewelry at home.

Contraindications - If you have any questions, please call (856) 794-1700

	Pacemakers
	Neurostimulators
	Ear Implants
	Insulin Pumps
	Some Cerebral Aneurysm Clips
	Metallic Fragments in Eyes