Patient Forms


Forms

Pre-Registration Instructions

Please complete the appropriate downloadable forms at home and bring them with you to your appointment. Download and complete the form that applies to you and / or the patient and bring it in with you. Please use blue or black pens ONLY when completing your pre-registration documents.  Thank you.

If you are more than 10 minutes late for your scheduled appointment, it is likely that your appointment will be rescheduled.

 

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PET/CT Scan

Oncology, Neurology, Cardiology

Nuclear Medicine

Bone Scans, MUGA

HeartScreen

Coronary Artery Calcium Scoring. No referral required.

Ultrasound

Ultrasounds or Sonograms using high frequency sound waves.

Fluoroscopy

IVP, Barium Enema

X-Ray

Chest X-Ray - Dual Energy Subtraction

Mammography

Full-field digital acquisition

CT Scan

CT 64 slice, Automatic Radiation Dose Reduction

Bone Density

DEXA, Hip & Femur BMD. Referrals may be required by some insurances.

MRI

High Field – Short Bore Magnets, Breast MRI with CAD, Cardiac MRI