Magnetic resonance imaging is a vital diagnostic tool that requires patients to lay still in a confined space for extended periods. Anesthesia services are often consulted to aid in the facilitation of these imaging exams for those unable to tolerate the positioning/confined space due to pre-existing medical or psychiatric conditions. This patient population, individuals requiring outpatient magnetic resonance imaging with anesthesia services, tend to be heavily comorbid, and arrive under-optimized on the day of service. This quality improvement project elucidates and updates pre-existing workflows for patients requiring anesthesia services for outpatient magnetic resonance imaging.