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All Documents can be viewed in Microsoft Word. Complete the forms and bring them with you to your appointment to save time.

 

1. Everyone must sign a Patient Consent Form which authorizes us to obtain Medical History needed to complete the radiology service.

2. Then choose the form below that corresponds to your procedure.

MRI History sheet

CT History sheet

Mammography History sheet

Bone Density History sheet

 

 

 

 
 
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11211 South Highway 6 • Sugar Land, TX 77478 • PH 281-313-1700 • FX 281-313-1705