Patient Forms

DEBBIE CHECK IN.jpg

To expedite your visit to High Desert Imaging, you can download and complete necessary forms in advance of your appointment and bring them with you for check-in. If you decide to complete required forms when you arrive to your appointment, please be sure to arrive 15 minutes early to give yourself time to complete them.

General Patient Forms

Exam Notification Authorization

Consent for Treatment

HIPAA Privacy Notice

You may also view a summary of this form on our HIPAA Privacy page.

HIPAA Acknowledgement Form

Medical Release Form

Medical Notice for Diabetics

CT

Consent for CAT Scan

CT Prep Instructions

CT Questionnaire

MRI

MRI Questionnaire

MRI with Contrast Consent

MRI Pregnancy Consent

Ultrasound

Consent for Transvaginal US

Mammography

Mammography Patient History

Mammography Breast Implant Consent

Dexa

DEXA Screening


For questions about which forms you should bring with you to your appointment, please contact HDI at 775.621.5800.