Patient formsSave time at check-in.
Completing your paperwork before you arrive helps us confirm your insurance, understand your medical history and prepare for your exam, so your appointment starts on time.
Forms
Forms for your visit
You can also complete these at check-in. If you would like a copy in advance, we will send it to you.
New patient registration
Your personal and contact information, so we can set up your record.
Medical history
Background our radiologists and care team need to plan and interpret your exam.
Consent for treatment
Confirms you understand your imaging procedure and agree to receive care.
MRI patients also complete a short safety questionnaire at check-in about implants, devices and metal.
Bring them with you
Print and complete your forms at home and bring them to your appointment along with your photo ID, insurance card and doctor’s order.
Send them ahead
Electronic submission may be available. Call our front desk at (240) 499-2863 to confirm how to send your completed forms securely.
Need help with a form?
Our team can clarify what information is needed, help with insurance details or explain how to submit your documents.
Ready when you are.
Book your exam online in a few minutes, or call and talk with a real person at (240) 499-2863. Same-day or next-day appointments are often available.