Downloadable Forms

Large Print Directions:

Please feel free to download these forms and give to patients requiring large print directions.

Directions from Albany-Shaker Road

Directions from Interstate 90

Directions from Wolf Road


Requisition Forms:

Our examination requisition forms are downloadable. We can also deliver pre-printed requisition pads to your office.

 

MRI / MRA / MRCP (Magnetic Resonance Imaging)

CT (Multi-Detector CT Scans)

Nuclear Medicine

Ultrasound

Diagnostic X-Ray

DEXA (Bone Density Measurement)

General Purpose (All Modalities)

Why not try our Secure On-Line Scheduling? It's fast, easy, and keeps your telephone and FAX lines free. Your staff will appreciate it, too.


 

Patient Privacy Protection:

AAI/CPAI Notice of Privacy Practices

Authorization to Use or Disclose Protected Health Information