Form includes a list of the necessary medical history we will need.
They can even sign electronically from their computer, smartphone, or tablet!
CT SCAN CONSENT FORM
FLUOROSCOPY CONSENT FORM
For patients undergoing anesthesia:
Patients should be receiving IV fluids (at maintenance rate) for 2–3 hours prior to procedure, unless contraindicated.
We recommend administering an antacid (i.e., Famotidine) parenterally at the time of catheter placement to minimize the chances of anesthesia related esophagitis.
For patients undergoing a procedure without anesthesia (i.e., swallow study or tracheal fluoroscopy):
No preparation is needed.
For swallow studies, patients should be fasted 18–24 hours unless medically contraindicated. Call us if patient is hyperactive and may need a mild sedative.