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                                                          Magnetic Resonance Imaging Info
 

 

 

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Please remember to bring your insurance card to your visit. It is very important that we have all of your current information so that our billing office can accurately bill your insurance company.

If you have prior films and/or reports pertaining to your study, it is very important to bring them with you to your exam.

To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com.

Please choose the appropriate form from the list below. You may bring your completed form to the office at the time of your visit or you can come to the office 15 minutes prior to your appointment and fill them out.

Patient Registration Form.

Patient Accident Info Form.

Patient Data Sheet.

Patient Consent Form.

HIPAA Form.

 

 

  

 

   

 

 
                                           HighField Open MRI 10630 Alpharetta Highway Roswell GA 30076 Ph:770-649-8500