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Get and Sign Mri Form 2016-2022
You had a previous MRI for this problem? L No
If Yes what did it show?
L Yes
__________________________________________________________________________________________
Have you had a CT (CAT scan), Ultrasound, X-Ray, Nuclear Medicine study for your current problem? L No
If Yes what did it show?
__________________________________________________________________________________________
Do you have a history of cancer?
L No
L Yes
If Yes, did you have treatment for the cancer?
If Yes, what...
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