Information For Patients

CT-Scanner

This page provides links for each procedure from equipment used, to who will process your test results.

You may also get the forms required for your visit. Please select the appropriate category below, print off the forms pertaining to your exam(s), and bring them with you to your appointment.

Patient Forms


  Patient Consent Form
  Bone Density Questionnaire
  CT Patient Information Form

CT Paperwork

  CT Patient information
  Consent form
  Financial Responsibility form
  Follow up notification
  X-Ray, CT, & MRI Pregnancy Questionaire

Digital X-Ray Paperwork

  X-Ray, CT, & MRI Pregnancy Questionaire

Mammography Paperwork

  Consent Form
  Screening Mammography History
  Financial Responsibility form

MRI Paperwork

  General, MRI banned items warning
  Patient Information form
  MRI Contrast Media Assessment form
  Financial Responsibility form
  Follow up notification
  X-Ray, CT, & MRI Pregnancy Questionaire

Ultrasound Paperwork

  Patient History
  Financial Responsibility
   Follow up notification

Mammography Brochure

Printable Map