Below are links to forms that you may wish to print and complete prior to your visit.
This will save you time at check-in. If you do not wish to print them in
advance or are unable to do so, we will provide you the forms on-site when
you check in. (It is important to report on time to your appointment).
For ALL patients to sign and date:
Patient Financial Policy (PDF)
For MRI patients to complete and sign:
NPIS MRI Examination Record (PDF)
NPIS MRI Gadolinium Risk Assessment (PDF)
For CT patients to complete and sign:
NPIS CT Examination Record (PDF)
NPIS CT Iodine Risk Authorization (PDF)