Forms & Policies
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You may download and print any of the forms listed below before coming to our office. You may either bring them with you to your visit or fax them to us before your appointment.
- Patient Registration [pdf]
- Health History Questionnaire [pdf]
- Notice of Privacy Practices [pdf]
- Records Release Form [pdf]
- MRI Procedure Screening Form [pdf]
- Breast History Form [pdf]
- Financial Policies [pdf]
- Patient Satisfaction Survey
- Exam Preparation Instructions [pdf]
- Gammagram : There is no preparation instructions for a Gammagram exam. It is recommended that pre-menopausal patients schedule their study between 2 to 12 days of their menstrual cycle.
The American College of Radiology (ACR) and the Radiological Society of North America (RSNA) have sponsored a very useful site providing general information and education about many aspects of imaging services. To learn about the profession of Radiology and find exam and disease-specific information go to http://www.radiologyinfo.org.