Benefits of procedure:

• Quick and Painless: X-rays are fast, non-invasive and typically painless.
• Accurate Diagnosis: They help detect fractures, infections, tumors, lung conditions and other medical issues.
• Guidance for Treatment: X-rays assist in procedures such as surgeries, radiation therapy and catheter placements.
• Minimal Preparation: Unlike some imaging techniques, x-rays usually require little to no preparation.

Risks of procedure:

• Radiation Exposure: While low, radiation exposure can accumulate over time and may slightly increase the risk of cancer.
• Cell Damage: In rare cases, radiation exposure may cause minor cellular changes, though the risk is minimal with modern safety measures.

Overall, the benefits of x-rays in diagnosing and treating medical conditions usually outweigh the risks when performed appropriately.

Parental/Guardian WAIVER & Consent for X-rays (Radiation Exposure)

As the parent or legal guardian of the minor you confirm below and give consent for the child/ward to undergo the specified named procedure above involving radiation. By confirming below you understand that this procedure has been recommended by a medical professional and is deemed necessary for diagnosis or treatment.

You acknowledge that you have been informed about the purpose, benefits, and potential risks of radiation exposure. You understand that medical professionals will take all necessary precautions to minimize radiation exposure and ensure my child's safety.

By confirming this form, you voluntarily consent to your child/ ward doing the procedure and release Apex Radiology, its staff and medical professionals, from any liability related to unforeseen complications or outcomes associated with the procedure.

Witness Confirmation

By clicking the "Confirm" button, you acknowledge that Apex Radiology has electronically witnessed this consent form. The date and time of submission are recorded and securely stored as part of your medical record.