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

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.

Activation code

If you received an activation code in your appointment letter, you will have to activate it before it expires. For help, watch this instructional video (YouTube). You can activate the code via MijnRadboud. This site also contains more information about the activation code.

Direct login

To log in to MijnRadboud with your username and password, click here.
To return to MijnRadboud, click on the image of the head at the top right corner of every page.

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).
 
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Patient care Patient examinations CT-scan with drinking water and an IV with contrast 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.

Contact Radboudumc

(024) 361 45 25
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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. read more

More information

How to make or cancel an appointment

Your attending physician will request your treatment and you will receive a notification. read more

How to make or cancel an appointment

Your attending physician will contact us to request a procedure or treatment. We will send you a notification.
If your procedure or treatment is scheduled to take place within the next fifteen weeks, we will notify you as soon as possible.
If you and your attending physician have agreed that the procedure will take place in a few months, you will be notified approximately fifteen weeks in advance (no sooner).

It's important to be on time; if you're late, the appointment may be cancelled. If you are unable to make the appointment, please contact us as soon as possible. You can call the Department of Radiology during office hours from 8.30 am to 5 pm on (024) 361 45 25. If possible, we will schedule a new appointment immediately.