Checklist for IV contrast solution

MijnRadboud

Before the contrast solution can be administered, we kindly ask that you print out and complete this contrast checklist at home. You can do this via MijnRadboud or by using the activation code in your appointment letter.
Please complete this checklist three weeks before your appointment. This will give us enough time to make any changes that may be necessary. Once you have completed the checklist via MijnRadboud or by using the activation code, we will contact you if we need more information.
More information about MijnRadboud.

If you are unable to complete the checklist online, you can submit a paper version instead.

Before the contrast solution can be administered, we ask that you print out and complete this contrast checklist at home. If you don't have a printer, read through the questions anyway. You may have to call us before the procedure or we may recommend having someone else drive you home afterwards.
Go to the contrast checklist (checklist in Dutch).

Patient care Patient examinations CT-scan with drinking constrast solution

What is a CT scan?

A CT scan uses X-rays to produce cross-sectional images of the body, which can be used to examine a specific body part.

About the examination

Checklist for IV contrast solution to be completed three weeks before your appointment

Before the contrast dye can be administered, we ask that you print out and complete this checklist at home.

Your appointment

Your doctor will make an appointment. You will get a notification. If you are unable to attend, please let us know as soon as possible so that your appointment can be given to another patient.

Listen

Your appointment

Your doctor will make an appointment. You will get a notification.

Cancelling or changing your appointment

If you are unable to attend, please let us know as soon as possible so that your appointment can be given to another patient. You can call the Radiology Department on weekdays between 08.30-16.45 at (024) 361 45 29.
Should you wish to cancel your appointment we request that you also inform your specialist.