Please print, fill out and deliver the appropriate forms for your scheduled appointment. If you have never been a patient at any of our locations, print all of the 'New Patient Registration' forms. If you have been a patient, print 'Existing Patient Registration' forms. Then, find your procedure and print the corresponding forms. If your procedure is not listed, you have no additional forms to print.
Referral
Authorization
Lien
PACS Access Agreement
Please arrive 20 minutes prior to your apopintment time.
Paperwork can be printed from above.
Bring your insurance card, ID and order form with you.
To provide your physician with the most accurate and timely results, we request that you bring any previous radiology exams that are pertinent to your current condition.
MRI Examination
Please notify scheduler if any of the following pertains to you: cardiac pacemaker, aneurysm clips, cochear implants, you are an occupational metal worker or may be claustrophobic.
CT Examination
If your exam requires contrast, DO NOT eat solid food two hours prior to your exam. Drink plenty of fluids prior to your appointment. Please notify scheduler if you are taking medication for diabetes or have a known allergy to iodine.
Ultrasound Examination
Abdominal - No food or drink 6 hours prior to your examination
Pelvis - Drink 32oz of water one hour prior to appointment. DO NOT VOID, a full bladder is required for this exam
OB 1st Trimester - Drink 32oz of water one hour prior to your appointment. DO NOT VOID - a full bladder is required for this exam
OB 2nd & 3rd Trimester - Drink 16oz of water one hour prior to appointment. DO NOT VOID - a full bladder is required for this exam.
Mammography
Please DO NOT wear powder, deodorant, lotion or perfume on the day of the exam. Bring your prior mammogram for comparison.
Breat Biopsy
Please DO NOT take any aspirin product one week prior to appointment. Inform the scheduler if you are taking any type of anti-coagulate drugs. Bring your most recent mammogram with you, if not done at our facility.
Fluoroscopy
Most fluoroscopy procedures requires a preparation before the examination. Schedule will give you instructions specific to the exam requested.
Nuclear Medicine
Preps vary according to the exam. Specific instructions will be given by the scheduling department. You may be asked to avoid eating, drinking or certain medications for a period of time prior to your exam. Additionally, please be sure to inform the schedulers and staff if you are diabetic, pregnant, uncertain if you may be pregnant or currently breat feeding.
PET/CT
Do not eat or drink anything (except for water & medications) for 6 hours prior to your exam. Additional instructions will be provided if you are diabetic.