Forms & Safety Manual

Safety Manual

Click here for the most up-to-date MRI Safety Manual

Online Scan Session Forms*

*Paper forms are no longer in use

Screeners

The following are links to NYSPI REDCap surveys

• Metal Screener

• Metal Screener (Spanish)

• Pregnancy Test Sign-Off Sheet

Other forms (fillable PDFs)

• MRI Billing Form

• MRI Scan Information Checklist

Waivers/Clearance Forms

The following must be accompanied by email approval from alayar.kangarlu@nyspi.columbia.edu

• Surgical Clearance Form

• Tattoo Waiver

• Surgical Implant Waiver

• Dental Implant Waiver

• IUD Waiver

Forms for Investigators

• MRI Grant Usage Form

• Study Launch Form (required before starting protocol) 

• MRI Facilities Description

LEGACY FORMS*

*Groups may download these for internal use as needed but we will require the use of the REDCap online forms and Fillable PDFs for all current scans   

• MRI Billing Sheet

• MRI Scan Session Information Checklist

• Metal Screener

• Metal Screener (Spanish)

• Sign-Off Sheet for Pregnancy Test

• MRI Unit Grant Usage Form

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