Tell us if anything has changed

Thank you for your help in ensuring that we continue to be able to provide the best services possible during these difficult times. You have been directed to this webpage in a letter that we sent you in order to provide information in the simplest way possible. We would be grateful if you could fill this form out completely to avoid us needing to contact you unnecessarily.

Please provide the following details to allow us to make sure we know who the patient is – we need all 3 pieces of information to make sure (hint: some of this is on the letter we sent you!):

Birmingham Children's radiology status check

Note: Questions marked by * are mandatory

In accordance with the General Data Protection Regulation (GDPR), in force from 25 May 2018 by submitting this form you agree for your data to be used for the purposes of processing your form only.



  Yes No
*This is a mandatory field. Are you aware your child is on our waiting list for a Radiology scan (MRI/ CT)?
*This is a mandatory field. Has your child developed any new symptoms or problems since going on the waiting list for their scan?






  Yes No
*This is a mandatory field. Are you available to attend a scan at short notice (within 3 days)?
*This is a mandatory field. We have planned to give your child a General Anaesthetic. Some scans can take up to an hour and without a General Anaesthetic, your child would need to remain still for the scan to work.  Do you think your child would be able to have the scan without a General Anaesthetic? 
*This is a mandatory field. In some situations our Birmingham Children’s Hospital Play Therapy Team can help a child to cope with a scan or procedure – have they helped your child before?

About you and your preferences

About your response

We need to share information with partner organisations to enable some treatments. This may involve providing the minimum information to another hospital nearby in order to speed up access to treatment. We may also need to share information with your GP. We will only ever communicate the minimum information in order to arrange or support necessary health care activities, or to ensure the safety of patients.

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