To make your registration process easier & faster, please download and complete the appropriate form for your study and bring it with you to your appointment.
MRI Questionnaire - Injury/Accident
MRI Questionnaire - Head/Brain
MRI Questionnaire - TMJ
MRI Questionnaire - Neck
MRI Questionnaire - Cervical/Thoracic/Lumbar Spine
MRI Questionnaire - Chest and Abdomen
MRI Breast questionnaire
MRI Questionnaire - Pelvis
MRI Questionnaire - Extremity
CT Questionnaire - Injury/Accident
CT Questionnaire - Head
CT Questionnaire - Neck
CT Questionnaire - Spine
CT Questionnaire - Chest/Abdomen/Pelvis
CT Questionnaire - Extremity
CT Questionnaire - IV Contrast
ULTRASOUND OF THE ABDOMEN, UGI, ESOPHAGRAM, SMALL BOWEL:
Nothing to eat or drink after midnight, or for 8 hours preceding the exam.
ULTRASOUND OF THE PELVIS, PREGNANCY (1ST TRIMESTER), URINARY BLADDER:
Empty bladder, then drink 32 oz. of clear liquid (non-carbonated) 1 1/2 hours prior to time of appointment. All of the liquid should be finished 1 hour before so that your bladder will be full for the study. DO NOT go to the bathroom until the test is completed. Note: For pregnancy in 2nd or 3rd trimester reduce liquid to 20 oz.
CT OF THE ABDOMEN/PELVIS:
Nothing to eat or drink (except medications) 4 hours prior to appointment. You will need to obtain oral contrast and instructions at our office at least 24 hours prior to your appointment.
BARIUM ENEMA / IVP:
1. Liquid diet for 24 hours prior to exam.
2. 1 - 10 oz. bottle of citrate of magnesia at 8:00 pm the night before the exam.
3. 1 - 8 oz. glass of water every hour between 8:00 pm and 12 midnight (total of 5 glasses).
4. 4 - Dulcolax laxative tablets at 10:00 pm the same night.
5. Administer a Fleets enema at 6:30 am according to the instructions on the package.
6. Nothing to eat after midnight and nothing to drink after 7:00 am on the morning of exam.
Exception: Oral medication may be continued with a few sips of water
Do not use any deodorant, powder or cream to the underarm or breast area on the morning of your procedure. Please bring all previous mammograms and their corresponding reports with you. Patients who have had recent surgery should bring films that were taken before, during and after their surgery. If possible, please obtain and bring a copy of your pathology report.