screw, nail, wire, plate Body piercing (s) Tattooed Makeup (eyeliner, ups. etc) Any Metal Fragments IUD or Diaphragm Hearing aid (remove before MRVMRA) Dentures (remove before MRI/MRA) AsWns or other breathing disorder Arodely Other. Patient Signature: \ MR; Screera!ng For. 1C:22/12 1. Wha