For your safety, all patients will be asked to complete this history each time you have an exam with us to provide us with the most up-to-date health information. To help make your visit more efficient, you may download the PDF and complete the information before you arrive. Be sure to bring the completed history with you to your scheduled appointment.
For your safety, all patients undergoing breast exams will be asked to complete this history each time you visit us to provide us with the most up-to-date health information. To help make your visit more efficient, you may download the PDF and complete the information before you arrive. Be sure to bring the completed history with you to your scheduled appointment.
All patients undergoing bone density (DEXA) exams with be asked to complete this history each time
you have an exam with us. To help make your visit more efficient, you may download the PDF and
complete the information before you arrive. Be sure to bring the completed history with you to your
scheduled appointment.
Please use this form when obtaining any prior images or reports from Advanced Radiology. Please note that only you (the patient) or your authorized representative may obtain any prior imaging studies or reports.
Advanced Radiology complies with Federal civil rights laws and does not exclude people, treat them differently, or discriminate on the basis of race, color, national origin, age disability, or sex.
We provide language aids and services to those who need them, free of charge.
If you believe believe you have been denied services or have been discriminated against, you may file a grievance with state or Federal officials by using the information provided in this PDF.
