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Step 1: Print Patient Handout

*The following handouts contain information on what the patient can do to manage their symptoms and prevent further complications.

Contrast Extravasation

Print this form if the patient experienced a contrast extravasation or infiltration, which occurs when the contrast material being injected into the vein leaked out into the surrounding tissues.

Contrast Reaction

Print this form if the patient experienced an allergic reaction to the contrast dye given to them during their imaging examination. 

MRI Burn

Print this form if the patient experienced an MRI burn, which happens when the patient’s skin or clothing comes into contact with the MRI scanner.

Step 2: Submit Incident Report

Click here to fill out the incident report

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