These are only a few of the forms that you may be asked to fill out apon arrival for your testing.  

Click on the link below to download the safety questions that MUST be answered PRIOR to having a MRI.

screening sheet.pdf screening sheet.pdf
Size : 18 Kb
Type : pdf

As a new patient, you will be asked to fill out a new patient questionaire.  Page 2 only needs to be completed if you have Workmen's Compensation or No Fault.  (No Fault patients are required to pay for services at time of appointment.  You will be given a receipt so you can get reimbursed.)

new patient form-001.pdf new patient form-001.pdf
Size : 37 Kb
Type : pdf
new patient form-002.pdf new patient form-002.pdf
Size : 28 Kb
Type : pdf
 

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