MRI Program Applicant Pre-Commencement Safety Form

The conditions listed on the Safety Checklist may preclude you from entering the clinical segment of the program and working in the MRI profession. If any of the conditions listed on the Checklist apply to you, we strongly advise you discuss the condition with your physician before applying to this program.

Thank you for submitting the MRI Pre-Commencement Safety Form. Your Admissions Officer will contact out via email with any follow up questions or application next steps.

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The magnet is always on, therefore it is critical we ensure all applicants are cleared to work in the magnetic field prior to acceptance.

Student Information

Metallic implants, objects and/or injuries

Implant and device checklist

Extra Considerations

* No further investigation is required if patch can be taken off while working in the presence of magnetic field.

* Tattoos are not really a problem, however iron oxide tattoos can heat up if directly in main magnetic field; precautionary measures may need to be taken if in the magnet itself.

Staff from RRC Polytech will contact the applicant directly should there be any further information required.

Applicant Signature

I attest that the above information is correct to the best of my knowledge. I have read and understand the entire contents of this form.