Before we perform your MRI scan, we need to know some important information about your health history. For safety reasons and to be able to perform the best possible MRI for you, we have 2 forms we need you to complete. For your convenience, you may elect to complete these prior to your arrival.

Simply download these 2 forms below and bring with you when you come for your MRI scan. You'll need the latest FREE version of Adobe's Acrobat Reader to open these files.

Patient Information Form

Authorization for Release of Medical Information Form

Notice of Privacy Practices

We Respect Your Privacy

Throughout the course of working with you, we will gain information about your health history. Please know that we treat this information with utmost care and confidentiality.

If you have any questions about how we may use your health information or about your rights as a patient, please read the NOTICE OF PRIVACY PRACTICES for Independent MRI.

If you have any questions or concerns, please contact us at (505) 327-0123.