Back to accessibility links

Draft NSW MRI Contrast Administration Form and Standing Order Template Consultation

The Agency for Clinical Innovation (ACI) is seeking feedback on two draft documents to support MRI  Intravenous (IV) Contrast examinations conducted by medical imaging facilities in NSW Local Health Districts (LHD) and Specialty Health Networks (SHN). These are attached:

  • Draft NSW MRI Contrast Administration Form
  • Draft MRI Contrast Media medication standing order template.

The documents have been developed by the ACI MRI Contrast Administration Working Party in collaboration with the ACI Radiology Network. They aim to support medical imaging facilities by improving patient comprehension, standardising safety checks and providing a template for contrast media standing orders.

The ACI is seeking feedback by  June 8  2021.

Following this consultation period, responses will be collated and reviewed, and revised finalised documents will be available on the ACI website for local use.


Please direct any questions to Ingrid Klobasa, ACI Radiology Network Manager on 0408 203 850 or at

This comments form is accessible via distributed link.

Radiology Network


Ingrid Klobasa
Radiology, Nuclear Medicine and Gastroenterology Network Manager