Included in the links below are preparation instructions for our most commonly prescribed exams. If you are preparing for a specific exam, please follow these and your physician or health care provider’s instructions carefully. If you have questions, please contact us at 800-758-5545.
Below are the common forms that may need to be completed prior to your exam. For your convenience we now provide a Mobile/Online option that can be completed from your phone, tablet or PC without printing.
Or you can still choose to print out the form(s) and bring them with you to your appointment.
- If you are scheduled for a MRI — You must also complete the MRI Screening questionnaire.
- If you are scheduled for a MRI or a CT Scan of the Brain or Spine, Please also complete the MRI/CT Neuro form.
- If you are scheduled for a MRI or a CT scan of a joint (knee, hip, elbow, etc), Please also complete the MRI/CT MSK questionnaire.
- If you are a female & scheduled for a MRI of the Pelvis, Please also complete the MRI Female Pelvis questionnaire.
- If you are scheduled for a MRI of Prostate, please also complete the MRI Prostate questionnaire.
- If you are scheduled for a CT Scan of the Sinus, please also complete the CT Scan Sinus form.
- If you are scheduled for a Dexa scan, please also complete the Dexa questionnaire.
|MRI Female Pelvis||Online||Printable|
|CT Scan Sinus||Online||Printable|