You can download and fill out the following forms to expedite your visit

General Forms

Patient Information

Health Questionaire

Patient Consent Use Disclousre

Financial Policy

Patient Payment Agreement Form

Patient MRI Safety Screening

Companion MRI Safety Screening

Forms corresponding to Facility

Open Alpharetta Imaging Center
CAT SCAN – X-RAY – FLUOROSCOPY – ULTRASOUND - MAMMOGRAPHY CONSENT FORM
MRI CONSENT FORM

Open Gwinnett Imaging Center
CAT SCAN – X-RAY – FLUOROSCOPY – ULTRASOUND - MAMMOGRAPHY CONSENT FORM
MRI CONSENT FORM

Open Woodstock Imaging Center
CAT SCAN – X-RAY – FLUOROSCOPY – ULTRASOUND - MAMMOGRAPHY CONSENT FORM
MRI CONSENT FORM