Get a head start.
Capturing the right information is more than paperwork; it’s how we prioritize your well-being and preferences. It helps us involve, educate and respect our patients. We want to manage your appointment effectively, and we value your time and safety. You can help by printing and completing the relevant patient forms before your arrival.
This is not a required form, however we use your feedback to discover new ways to make a difference for our patients. While you are completing your required forms, please consider printing the survey also. You can complete it after your exam and submit it to any member of our staff.
Please use our Medical Records Release Request Form to either request your medical records from us, or to grant us permission to acquire your prior exams from an outside facility.
All new patients must complete a General Registration form. If you have had an exam with us previously, you do not need to fill out this form.
When scheduling your CT examination, our patient scheduling representatives will ask you important questions during pre-screening to ensure safety and accuracy. Also, the CT Patient History Form (haga clic aquí para la versión española) is required for all CTs. If your test is with IV contrast, you must also complete the CT IV Contrast Informed Consent (haga clic aquí para la versión española).
When scheduling your MRI examination, our patient scheduling representatives will ask you important questions during pre-screening to ensure safety and accuracy. Also, the MRI Patient History & Consent Form (haga clic aquí para la versión española) is required for all MRIs. It is very important to complete these forms carefully, as the high magnetic fields in MRI can be dangerous with certain types of implantable devices. Please locate and bring all of your medical device manufacturer cards with you if you have had prior surgeries or device implantations.
Before your mammogram, you will be asked to fill out the Mammogram History Form. It is very important to complete this form accurately for the best quality mammography interpretation by your radiologist.
The DEXA Questionnaire is required before your DEXA bone density exam to ensure proper evaluation and an accurate assessment of your ten-year fracture risk.
High quality PET/CT requires excellent blood sugar control for optimal results. Please review and follow our General Instructions Document before your test. The PET/CT Questionnaire, Anatomic History Document and Consent Form are required for the test. Finally, for those with diabetes, it is critical to follow the PET/CT Diabetic Instructions since your test could be cancelled if sugar levels are too high at the time of the exam.
Complete el formulario pertinente para su examen. Todos los pacientes deben completar el formulario de paciente nuevo.