Established Patient Forms

Health Imaging Services
Non-invasive Diagnostic Imaging in Cullman, AL

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Established Patient Forms

(Patient had a scan at Health Imaging Services in the past must complete the following forms)
Click on each to download, print, and fill out.

Consent Form

patient authorization to release patients information

PET cT prep instructions

PET CT Prep instructions back side of form (Map)

Financial statement

Patient Registration form

Worksheet