Medical Imaging Center Lost Belongings Report
About this free form template

Losing personal belongings during a medical appointment can be stressful, especially when you're already focused on your health. This Medical Imaging Center Lost Belongings Form streamlines the process of reporting and recovering lost items at radiology departments, imaging centers, and diagnostic facilities.

Whether it's jewelry removed before an MRI, a phone left in a changing room, or a jacket forgotten after a CT scan, this form captures all the essential details staff need to locate your belongings quickly. The form collects appointment information, scan type, changing room or area used, detailed item descriptions, and technician names to help narrow down the search.

Perfect for radiology departments and imaging centers

Medical imaging facilities handle dozens of patients daily, each using changing rooms and waiting areas where personal items can easily be misplaced. This template helps healthcare administrators, front desk staff, and imaging technicians maintain an organized lost and found system that respects patient privacy while efficiently reuniting people with their belongings.

How Paperform makes recovery easier

Built on Paperform, this template lets you customize fields for your specific facility layout, add conditional logic to show relevant questions based on scan type, and automatically notify the right staff members via email. You can embed the form on your patient portal, link it from appointment confirmation emails, or display it in your waiting room via QR code.

Use Stepper workflows to automatically log lost items into a tracking spreadsheet, send follow-up notifications to patients when items are found, or create tasks for staff to check specific areas. For facilities managing multiple locations, you can route reports to the appropriate site administrator automatically.

This form helps medical imaging centers provide compassionate, organized patient care that extends beyond the scan itself—because recovering a lost wedding ring or wallet can make all the difference in a patient's experience.

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suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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