Pre-Visit Forms
All patients are required to complete pre-visit forms, and there are three options for doing so:
- Online (recommended): Click the box below to complete the forms online. Only do so once you’ve scheduled your scan. Please arrive 15 minutes before your appointment.
- Download and print: Use the links on this page to download and print the forms. Complete them and bring them with you when you arrive. Please arrive 15 minutes prior to your scan.
- In-person: Complete the forms at our center. Existing patients should arrive 15 minutes before their scan, while new patients should arrive 30 minutes early.
If you prefer to download and print the pre-visit forms, use the links below:
- Registration Form: [Click here to download]
- Assignment of Benefits/Release of Information Form: [Click here to download]
Note: Enter your scan date (date of service) when signing this form.
Additional Forms Based on Scan Type:
- MRI Patients: [Download the MRI screening form here]
- Prostate MRI Patients: [Download the Prostate MRI form here]
- CT, PET/CT, or Nuclear Scan Patients: [Download the form here]
If you’re receiving contrast with your scan, [Download the Contrast form here]. - Breast Imaging Patients (first-time): [Download the breast history form here].
- DEXA Imaging Patients (first-time): [Download the DEXA questionnaire form here].
Scan Preparation Information:
- MRI and MRA: Inform us if you have metallic implants. The procedure takes 20-45 minutes. You’ll hear knocking sounds, and headphones with music are available. Contact us if you require sedation.
- PET/CT: Do not eat or drink (except water) for 6 hours before your appointment. Stay hydrated and follow dietary instructions if diabetic. The scan takes about 20-30 minutes, but expect to stay for 2-3 hours total.
- CT & CTA: If contrast is required, do not eat or drink 4 hours prior. The exam takes 10-30 minutes.
- Ultrasound: Specific preparations depend on the type of ultrasound. Abdominal ultrasound requires fasting for 6-8 hours, while pelvic or obstetrical ultrasounds require a full bladder.
- X-ray: No preparation is needed. Remove jewelry or metal objects before the exam, which typically takes less than 20 minutes.
