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R2 Image Checker.

Mammography shows a mass and ultrasound is recommended.

Ultrasound proves that it is a benign cyst (smooth borders & black inside)
 

Registration for Patients with:
-Private Insurance, Medicaid, Medicare or Medigap

Medical Records Release

Authorization to Obtain Medical Records

HIPAA Policy & Acknowledgement

All forms are in Adobe Acrobat.
Click Here to get the reader if you don't already have it.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

phone: 845-340-4500 • fax: 845-340-4501

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