NOW OPEN!! 

Our new location in Katy, Texas  

Patient Forms 

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In order to make your visit more convenient, patient forms   are available to download  and complete prior to arriving for your exam.

Please click on the link below to open and download the form. The forms are Adobe (PDF) format and can be opened in Adobe Reader. If you do not have Adobe on your computer you can obtain a free Adobe download from their website www.adobe.com.  

 

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Title
Patient Registration Form - English Patient Information Form to be filled out before appointment for any radiology procudure / test.	Download
Assignment of Benefits Assignment of Benefits	Download
X-Ray Consent Form - English X-Ray Consent Form - English Patient must fill out this form prior to X-ray exam	Download
DEXA Form DEXA Form	Download
Ultrasound Form - English Ultrasound Form - English	Download
MRI Patient Questionaire - English English Patient must fill out this form prior to MRI exam	Download

    

Patient Forms In Spanish

Title
X-Ray Consent Form - Spanish X-Ray Consent Form - Spanish Patient must fill out this form prior to X-ray exam	Download
Patient Registration Form - Spanish Patient Registration Form - Spanish Patient Information Form to be filled out before appointment for any radiology procudure / test.	Download
MRI Form - Spanish MRI Form - Spanish	Download
MRI Patient Questionaire - Spanish Paciente tiene que completar antes de la IRM	Download
Ultrasound Form - Spanish Ultrasound Form - Spanish	Download