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Patient Forms & Educational Resources



Physician Portal Image Viewer:

physician portal image viewer
 
Helpful Links:
  • http://www.cancer.org/docroot/home/index.asp
  • http://www.nbcam.org/
  • http://www cancer.gov/
  • http://www.breastcancer.org/
  • http://www.nof.org/
Other Information:
  • Preps for before scans.

Downloadable Forms:
  • Bone Density Questionnaire
  • Patient Registration
  • Breast Imaging Questionnaire
  • Authorization for Treatment
  • Obstetrical Patient Questionnaire
  • Patient History & Screening Questionnaire
  • Authorization to Release Medical Records
  • Radiology Pregnancy Screening


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Advanced Imaging and Radiological Consultants Association accept almost every insurance plan on the market.

Worker's Compensation cases are also accepted. LOP, PI, and MVA services available upon request with agreement.
The list of accepted plans is constantly expanding. If you wish to know if your plan is covered, please call the center at 214-420-5400.

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© Advanced Imaging 2009 • 1750 N Hampton Road • DeSoto, TX • 214-420-5400

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