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Dr. David Hall and Dr. Susan Conners read MRI scans.

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Carotid MRA showing a 1.5 CM segment of severe stenosis of the left Subclavian Artery distal to its origin from the Aortic Arch.
X-ray of the knee shows the
bone and soft tissue.
MRI of the knee shows the tendons, cartilage, muscles, and fat tissue.
 

MRI Questionnaire

MRI Breast Patient Questionnaire

Registration for Patients with:
-Private Insurance, Medicaid, Medicare or Medigap
-No-Fault insurance or Workers Compensation

Assignment of Benefits for Patients with No Fault Only

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.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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