PREPARE FOR YOUR VISIT

MD Imaging understands that patients undergoing radiologic testing often have questions or concerns. We have compiled the following are guidelines to help patients prepare for their visit.

• Generally, patients should arrive 15 minutes early to your appointment, depending on your procedure.
• Instructions on exam procedures are available in the Exam Prep section of the website
• Patients can complete and download forms before their visit

It is important that you bring the items listed below to your appointment. The first three items are "musts" for everyone. The remaining items may or may not be necessary, depending on your individual situation:

  • Insurance card, including the insurer's name and address, and the patient's policy number

  • Photo identification, such as a driver's license or state photo ID

  • Cash, check, or major credit card (Visa, MasterCard, or American Express) to pay for services not covered by insurance

  • Health Plan Referral Authorization--if required by your health insurance carrier

  • Name, address, and phone number of your referring physician


Lastly, relax; the staff at MD Imaging is available to guide you through this process. If you have any questions please call 845-471-2848.

DOWNLOAD PATIENT FORMS

New Patient Forms

Release of Medical Information

CT/CTA

CT Scan Patient History Form

Mammography

Mammography Questionnaire

MRI/MRA

Breast MRI Questionnaire

MRI Spine Questionnaire

MRI/MRA Chest/Abdomen/Pelvis Form

MRI Extremity (Non-Joint) Questionnaire

MRI Extremity (Joint) Questionnaire

MRI/MRA Brain Questionnaire

No-Fault Forms

No-Fault Assignment of Benefits Form

No-Fault Liability Form

Nuclear Medicine Forms

Bone Scan Questionnaire

Bone Density Questionnaire