Questionnaires

OUR SERVICES

	HEART/LUNG SCANS
	FULL BODY SCAN
	VIRTUAL COLONOSCOPY
	CAROTID ULTRASOUND
	DIAGNOSTIC ULTRASOUND
	DIAGNOSTIC CAT SCANS

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	ABOUT OUR DIRECTOR

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Questionnaires

These questionnaires are provided for your convenience. You may print the general registration form as well as the questionnaire that is pertinent to your scan. You may fill them out and bring them with you when you come in for your appointment.

Questionnaire for Heart Scan (PDF file)

Questionnaire for Lung Scan (PDF file)

Questionnaire for a Heart/Lung Scan (PDF file)

Questionnaire for Body Scan (PDF file)

Questionnaire for Colon Scan (PDF File)

Prep Instructions for Colon Scan (PDF File)

PREP KIT FOR COLON SCAN MUST BE PICKED UP 2 BUSINESS DAYS PRIOR TO SCAN.

If you do not have Acrobat Reader to open the PDF files you may download the program by clicking on this link and following the easy directions:

To print the above files:

Choose File > Print from the top toolbar or choose the printer icon on the toolbar if displayed.